Word: sayed
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Dates: during 1970-1979
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...court became the first in the nation to uphold the withholding of emergency treatment from irreversibly, terminally-ill in-competent patients who suffer caridac or respiratory failure. The decision held that doctors have the final say on the right-to-die of these patients...
...enough to insist that new technology should be subject to rigorous cost-benefit analysis, but if a new machine costs, to be hyperbolic, $5 million, and saves one life in ten years, who is to say the price is not justified? Asks Dr. David Thompson of New York Hospital-Cornell: "If you decide to do without some product of the new technology, which one would it be? And are you willing to take the chance that it won't be available when you, the patient, need...
...Government should revise Medicare and Medicaid reimbursement formulas to pay hospitals a set amount for, say, removal of a gallstone, rather than costs-plus. Says Dr. Mitchell Rabkin, director of Beth Israel Hospital in Boston. "I'd like to see a system of incentives?say, if we saved money, that money could be split between the insurer and the hospital." Califano and some state regulators also are launching a drive to require that a majority of the directors of any Blue Shield plan be laymen. At present, many Blue Shield plans are dominated by doctors, who, to put it delicately...
...problems early enough for physicians to intervene. The U.S. spends some $80 million a year on this effort, and the fetal death rate in the U.S. has in fact declined since electronic monitoring was introduced in the mid-1960s, but there is little evidence linking the two. Moreover, critics say that the benefits are uncertain and that there is risk to the baby of laceration and infection of the scalp and respiratory problems, and to the mother of uterine perforation, pelvic infections and an unnecessary Caesarean section should the monitoring mistakenly indicate the baby is in distress...
...gadgetry outside the operating room and require a staff-to-patient ratio twice that needed elsewhere in the hospital, they are very expensive services to run. The intensive care unit accounts for about 15% of all hospital costs. Coronary care units may charge $400 to $500 a day. Yet, say some doctors, no one is sure whether survival rates are higher than would occur with care in regular hospital beds. Some physicians are also concerned that the bright lights, alarms and lack of privacy can frighten patients, impeding recovery or even precipitating fatal heart attacks. In neonatal centers, the infants...