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The NEJM article quoted another study, which found that among persons 18 to 64 years of age, the rate of rehospitalization was “only weakly related to age.” So, why is Dr. Berwick given to such fascist inclinations with grandma and other Medicare patients? The devilish ObamaCare law makes him do it.
The NEJM physicians wrote: “We were unable to link measures of the number of beds in a community” to the over readmitting of patients or whether “higher rehospitalizaion rates are evidence of better care or just more care…[B]etter care may reduce the number of rehospitalizaions, but we have no data on where these features are provided.” Research, the doctors mentioned, shows that palliative care can reduce rehospitalization. (That should be apparent because palliative care normally is given to those in their final stage of life. It is care for comfort, not cure and normally found in Hospice.)
Variation in readmissions among different states and hospitals “may be possible on a national scale,” the authors of the NEJM study said, but “the data do not show which practices cause the differences or whether the differences are exportable” to other hospitals.
When the typical patient has “two chances of three of being rehospitalized or dying” within a year after discharge “it is probably wiser to consider all Medicare patients as having a high risk of rehospitalization…It would be premature to predict how much [cost] reduction can be achieved,” the study’s authors wrote.
This section of ObamaCare is a direct physical threat to seniors, whose lives apparently are not considered worth the money to pay for their return to the hospital. It also is a killer for hospitals. In Detroit, just as one example, St. Joseph Mercy Health System (hospitals) depends on Medicare for 45 percent of its revenue. In rural communities, the percentage often is even higher.
The Department of Health and Human Services (HHS) has the power to expand the list of the three selected conditions without limit after 2013. So, what ObamaCare considers “excessive” hospital care is, in truth, a real and effective way for Democrats to push grandma off the cliff.
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