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View Diary: Recession And Children's Health Care – A Revisit (103 comments)

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  •  In between the two hands... (1+ / 0-)
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    DemFromCT

    JD wrote: "On the one hand, there are the catastrophic cases, and on the other all of the immunizations that need to be done."

    And somewhere arbitrary, in between the two hands, are lots of expensive, elective, emotionally-laden issues like infertility treatment, for instance.

    I support SCHIP and universal health care, but I think it will only be sustainable if we reduce the number of covered conditions. This will need to be arbitrary and values-based: for instance, I personally believe facial reconstruction for an accident victim or a child with a cleft lip is more important than breast reconstruction after breast cancer. But painful and arbitrary lines will need to be drawn for universal health care to succeed.

    •  excellent point (2+ / 0-)
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      jd in nyc, Leap Year

      in any situation where there is more need than resources (the classic "shortage of staff, space and stuff" dilemma), there will need to be triaging or rationing or ethical decision making.

      No way around it.

      In this case, the question is who does it: The government, the public, or the health insurers? Someone is going to have to do it, and that includes very expensive end of life care, cosmetic surgery (however that is defined), etc.

      I don't have the answers, mind you, but i do recognize you raise an important question. ;-)

      Then again, health reform is never easy.

      "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

      by Greg Dworkin on Sun Nov 30, 2008 at 11:49:06 AM PST

      [ Parent ]

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