this is why american medical care is so expensive. Family’s and Law make doctors
“do everything” even when the doctors know there is 0.01% chance such a person even makes it out of the icu and that’s not saying anything about brain function.
I'm pretty sure that in "socialized medicine" countries i.e. the rest of the civilized world pretty much, they also "do everything" even if chances are low. AND everyone involved (including family) can do their part in it without having to deal with papers, money, bills, proof of insurance, and the plethora of other likely speed bumps that exist in the US.
So no, I don't think that's why. If anything, the amount and quality of average care for the average US citizen is lower, if life expectancy and my anecdotal observation are valid indicators.
It's expensive because it's a business designed to make profit every step of the way, and over time has created many steps to feed.
I'm no expert but at least in the initial stages of resuscitation, the cost is relatively low. Paramedics doing CPR, defibrillation, some epinephrine, then in the ER they'll intubate, get some lines in, push more epi and maybe amiodarone - pretty basic stuff that's more about doing it fast than expensive equipment. I don't think it adds up to a ton… well yes American healthcare is absurdly expensive, but this particular aspect isn't extraordinary. The initial resuscitation steps are about timing, not fancy drugs
I think its good, but I also think that we don't have enough education in the US populace about what this means realistically. "Pulling out all the stops" means that your loved ones last time on this earth is either in agony or comatose, neither of which I would tolerate of my dog much less my mother.
Very sadly true. As someone who has done CPR probably 250-300 times, one of the most challenging parts was transitioning to the role where I'm talking to family, and explaining the realities of things, and when we should discontinue efforts.
"William Peppé handed the gems, relics and reliquaries to the colonial Indian government: the bone relics went to the Buddhist King of Siam (Rama V). Five relic urns, a stone chest and most other relics were sent to the Indian Museum in Kolkata - then the Imperial Museum of Calcutta.
Only a small "portion of duplicates", which he was allowed to keep, remained in the Peppé family, he notes. (Sotheby's notes say Peppé was allowed to keep approximately one-fifth of the discovery.)
Sources told the BBC the auction house considers the "duplicates" to be original items considered surplus to those donated, which the "Indian government permitted Peppé to retain". "
If this is true, it doesn't sound "clearly stolen" to me. Frankly, if there was serious reason to doubt that story, I would have expected the article to quote somebody willing to say so, rather than just expressing vague unease and general hand-wringing about the optics of the situation.
I'd be shocked if this was anywhere near reality. Covid hasn't been an issue any of the hospitals that I work at to the point that many doctors and nurses don't even bother with N95 masks when seeing covid patients.
It's more likely this is people dying with covid and not from covid. If someone covid positive has a stroke or heart attack which column is that being written in?
I have had to write my share of death certificates, and most docs will write the easiest thing that gets the corner off their back. These statistics may be broadly true
medicine is unlike technology in that it has a much much higher level of human error in data points (intentional or not).
> Covid hasn't been an issue any of the hospitals that I work at to the point that many doctors and nurses don't even bother with N95 masks when seeing covid patients.
Damn, where are you at? Got ~75 hospital and care home units in active COVID-19 outbreak right now in Toronto. And outbreak doesn't include people that arrived with it, just spread within the unit.
Wastewater numbers clearly show extremely high # of cases.
And anecdotally - I just got it 3 weeks ago, along with my whole household (Hamilton area), after avoiding it for the entire time prior to this. My elderly parents got it a couple weeks before that. Coworkers of mine got it. It's all over the place right now.
Just got back from the family dr's office today. The doctors were all in masks. The nurses weren't bothering.
I’m a MD and this isn’t even remotely correct and the number seems to be pulled out of thin air. Comparing a 2 year PA program with a 4 year MD program plus mandatory 2-7 year additional training is extremely disingenuous.
It would make logical sense for it to function like that, but go ahead and test your theory. You will quickly find most places happily continue service for a while while sending bills and threatening collections.
This is especially true of those services that are difficult to cancel.
