Exactly as backers of ObamaCare said: death panels, if you prefer that term, are the system in place for insurance companies to ration care. Exactly what’s happening here: the potential recipient has a history of not following Doctor’s orders, so they don’t want to trust him with a scare medical resource.
Although apparently after media coverage, they’ve put him on the transplant list.
I used to take care of transplant patients in ICU as a nurse. If you have a a history of drug abuse or non compliance REPEATEDLY, then you should never receive another organ. It’s tough to see those who don’t get a chance at organ transplant because of some ass who is non compliant with his transplant meds getting his/her second organ.
While I agree with the thought behind it, this is very different than death panels. Transplants are very labor intensive and require a lot of dedicated follow up snd complex medicine regimines. And the organs are prone to bad if patients aren’t compliant with they’re meds. I’ve seen these non-compliant transplants patients die, So why waste an organ that could help someone who would take the meds and follow up.
I got a Kidney/Pancreas Transplant in ’02. If I had not been taking care of myself, taking my meds, getting regular checkups, and following my doc’s orders, I would have not been on the list. This is in no way a Death Panel. This is the way the Transplant list is managed.
The article does not give any information besides some speculation that Doctors looked at his legal history. I can tell you that this is a bald faced lie. Other than that, it just give some heart rending video of a 15 yr old black kid. I won’t speculate on his history other than to say that if he won’t take his medications, won’t follow orders about exercise and diet, and won’t go to regular follow-up visits where they TELL you what to do. (and you better damn well do it.) Then he does not deserve to be on the list. Give the organ to someone who has shown they can take care of it.
I could list the follow up requirements for a heart transplant, but it would be too long. Trust me, it ain’t easy or fun.
A summer job as a tech in a dialysis clinic demonstrated to me that there are some people who won’t or can’t do what is necessary to save their own lives.
If personal behavior is to be ignored when deciding who gets a transplant organ, we’d better start mandatory organ harvesting at death to supply the need, or allow people to sell redundant organs while alive to the highest bidder.
If we wish to retain the criteria that medical need and organ match determines the priority list for transplants, compliance (specifically MEDICAL compliance) remains an acceptable way to determine who gets to use a scarce resource.
I don’t see the death panel aspect at all. The doctor has diagnosed a problem, the doctor has come up with a treatment plan. The patient isn’t following that plan at step 1, so why would step 22, heart transplant, even be considered. We don’t criminalize suicide, it’s his choice. No need for society to spend $250,000 and a scarce transplantable organ to help him do it faster.
I’ve seen comments that I can’t substantiate (It’s on the Internet, it has to be true!) that the “non-compliance” was over his current heart, which was a transplant.
August 15th, 2013 at 8:58 pm
Exactly as backers of ObamaCare said: death panels, if you prefer that term, are the system in place for insurance companies to ration care. Exactly what’s happening here: the potential recipient has a history of not following Doctor’s orders, so they don’t want to trust him with a scare medical resource.
Although apparently after media coverage, they’ve put him on the transplant list.
August 15th, 2013 at 10:16 pm
I used to take care of transplant patients in ICU as a nurse. If you have a a history of drug abuse or non compliance REPEATEDLY, then you should never receive another organ. It’s tough to see those who don’t get a chance at organ transplant because of some ass who is non compliant with his transplant meds getting his/her second organ.
August 15th, 2013 at 10:27 pm
While I agree with the thought behind it, this is very different than death panels. Transplants are very labor intensive and require a lot of dedicated follow up snd complex medicine regimines. And the organs are prone to bad if patients aren’t compliant with they’re meds. I’ve seen these non-compliant transplants patients die, So why waste an organ that could help someone who would take the meds and follow up.
August 15th, 2013 at 10:30 pm
I got a Kidney/Pancreas Transplant in ’02. If I had not been taking care of myself, taking my meds, getting regular checkups, and following my doc’s orders, I would have not been on the list. This is in no way a Death Panel. This is the way the Transplant list is managed.
The article does not give any information besides some speculation that Doctors looked at his legal history. I can tell you that this is a bald faced lie. Other than that, it just give some heart rending video of a 15 yr old black kid. I won’t speculate on his history other than to say that if he won’t take his medications, won’t follow orders about exercise and diet, and won’t go to regular follow-up visits where they TELL you what to do. (and you better damn well do it.) Then he does not deserve to be on the list. Give the organ to someone who has shown they can take care of it.
I could list the follow up requirements for a heart transplant, but it would be too long. Trust me, it ain’t easy or fun.
August 16th, 2013 at 8:42 am
A summer job as a tech in a dialysis clinic demonstrated to me that there are some people who won’t or can’t do what is necessary to save their own lives.
If personal behavior is to be ignored when deciding who gets a transplant organ, we’d better start mandatory organ harvesting at death to supply the need, or allow people to sell redundant organs while alive to the highest bidder.
If we wish to retain the criteria that medical need and organ match determines the priority list for transplants, compliance (specifically MEDICAL compliance) remains an acceptable way to determine who gets to use a scarce resource.
August 16th, 2013 at 9:40 am
I don’t see the death panel aspect at all. The doctor has diagnosed a problem, the doctor has come up with a treatment plan. The patient isn’t following that plan at step 1, so why would step 22, heart transplant, even be considered. We don’t criminalize suicide, it’s his choice. No need for society to spend $250,000 and a scarce transplantable organ to help him do it faster.
August 16th, 2013 at 3:09 pm
My brother was taken off a list 1n 2000 for the same reason. No one who knew him thought it was the wrong decision, including my mom.
August 16th, 2013 at 3:12 pm
Here is the other side of the coin.
http://articles.philly.com/1994-11-08/news/25868878_1_heart-transplant-expensive-transplant-surgery-terminal-heart-disease
August 16th, 2013 at 4:47 pm
Although apparently after media coverage, they’ve put him on the transplant list.
If true, this is complete bullshit.
Either have standards or don’t. Media coverage shouldn’t enter into the decision at all.
August 16th, 2013 at 7:03 pm
The Heart Nazi says: “NO HEART FOR YOU!”
He’s like the Soup Nazi on Seinfeld, only instead of not getting your soup, you die.
August 16th, 2013 at 7:31 pm
http://thelede.blogs.nytimes.com/2013/08/13/atlanta-teenager-denied-heart-transplant/?_r=0
This was all over the local news websites this morning, but I can’t find anything about it now.
I wonder about the people on the transplant list who do follow the rules. I guess they’re just screwed.
August 17th, 2013 at 10:55 am
I’ve seen comments that I can’t substantiate (It’s on the Internet, it has to be true!) that the “non-compliance” was over his current heart, which was a transplant.
So he’s already “wasted” one already.
August 17th, 2013 at 11:28 pm
If Obama had a son with a bum heart…