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View Diary: When Can We Expect Health Care Reform (Whoever Wins)? (369 comments)

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  •  What is a Tough Love Med Hlth care system? (1+ / 0-)
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    For me it would involve the inclusion of a respect for the concept of the Individual's acceptance of
    PERSONAL HEALTH RESPONSIBILITY in what ever health care package that may eventually come into being.

    By that I mean,for example: Only comfort care for the individual who can afford to pay for a Health Plan but chooses instead to use his/her available funds to live a "drink , eat & make merry life style" INSTEAD ;

    no nine hour long  reparative brain surgeries for the individual motorcycle rider who chooses his/her right not to wear a helmet;

    no liver transplants for the alcoholic who chooses to continue abusive drinking;

    no medical resusitative efforts for the hard drug user overdose individual... and the list goes on.

    Tough Love Medicine requires a hardening of societies collective heart to the making of  an offsetting effort to thwart the
    effects of the multitude of potential medical system leeches who will have the ability to collectively work toward the financial undermining of any health care system.

    Tough Love Medicine however, in my opinion, does not include ruling out needed surgery in the otherwise healthy, active, mentally functioning geriatric patient solely on the basis of an arbitrarily set age limit.


    •  Yes But .... (3+ / 0-)
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      maracucho, Dr Wu, wishingwell

      Health Care ......
      and health care education are two different things .
      I don't think they should be bundled directly in forcing the discussion on how health care is to be paid for .

    •  I think this is an important issue to explore,but (0+ / 0-)

      it's not so cut-and-dried.

      If you want to deny care for me because I didn't wear a helmet, what about folks that:

      ride motorcycles at all
      drive like idiots
      scuba dive
      climb mountains
      smoke cigarettes
      don't use a seat belt
      overeat, or don't have a healthy diet
      don't get enough exercise
      don't take their doctor's advice
      don't properly secure, or are otherwise careless with their firearms
      drive small cars or bicycles intead of SUVs
      swim in the ocean (or a pool, for that matter)
      eat sushi, or raw oysters
      etc, etc, etc

      There is merit to the position, but there is also a slippery slope here.  These choices have far-reaching ramifications.

      There is an email going around with a photo of a helmeted guy who amazingy survived a horrific accident with a truck.  The caption below spouts the lesson that you should always wear a helmet, however, no admonishment to deter you from doing what this idiot did, which was run into the back of a semi going 120 mph.

      But I do agree that this issue needs some substantial thought and debate, but I also warn that it will not be an easy problem to resolve.

      I'd rather have a bottle in front of me than a frontal lobotomy.

      by beemerr90s on Sun Mar 02, 2008 at 10:14:35 AM PST

      [ Parent ]

    •  I expect you're being rhetorical but (0+ / 0-)

      How do you determine if someone is a regular hard drug user in the time you have before he must be resussitated?

      Already, in ERs, there is a "oh, he's just homeless and drunk" categorization danger if you come in disoriented and dirty. And there are many ways to be in that state without being drunk or homeless.

      Your 'Tough Love Medicine' would require getting to know the patient and their behaviors, and our medical system does not allow for that.

      Fry, don't be a hero! It's not covered by our health plan!

      by elfling on Sun Mar 02, 2008 at 10:29:45 AM PST

      [ Parent ]

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