OpEd Contributor

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Lori Roman: Government-run health care killed my father

By: Lori Roman
OpEd Contributor
August 11, 2009

"I recommend that you seriously consider a "do not resuscitate" order, said the seemingly nice man in the white coat. "He has diminishing quality of life. And, if he has an infection or illness, we can provide comfort care for him."

This was my first introduction to government-controlled "health care." The man he was suggesting unworthy of penicillin or CPR was my happy, loving father, a man who lit up the room with his smile and kind words, despite his dementia. A man who served his country in WWII and lived an honorable life. A man who was otherwise healthy and active.

The doctor then suggested that my father possibly brought on the dementia by drinking, thereby, I suppose, justifying that no further treatment should be wasted on him. I looked at the doctor in horror. Yes, the Irishman with the twinkle in his eye enjoyed a few beers, but did that make him less valuable as a person?

Comfort care? That is a nice way of saying, "We will withhold real treatment in order to save Medicare dollars".

I fired that doctor, but I realized how this mindset had permeated the medical system when Dad went into the hospital with a kidney infection. An emergency room doctor made similar comments. She suggested that I did not need to feed him now that he was unable to feed himself--in essence suggesting euthanasia for a man who simply had an infection treatable with antibiotics.

"I don't believe in starving old people," I shot back. "I want you to treat my father as if he were your father."

Dad's severe infection and high temperature resulted in his admittance, and he made great progress in the hospital. I'm not sure how the government defines "quality of life", but it seems that an 88 year old flirting with nurses is a pretty good sign.

Despite the persistent infection, Dad was discharged because his temperature fell one-tenth of one point below the Medicare guideline for hospitalization. I begged the doctor to let him stay, citing his Blue Cross Blue Shield coverage. The doctor insisted that Medicare ruled and that my father was safer outside of the hospital where he would be less likely to contract a secondary infection.

I did what most people do; I trusted the authoritative person in the white coat. It was a fatal mistake. The lingering infection led to complications that killed him a few weeks later.

Unfortunately, my father's story is not unusual. The elderly are sometimes euthanized by withholding care and even nourishment. A caregiver in a nursing home recently told me the story of a woman with Alzheimer's whose daughter signed an order forbidding the staff from feeding her. This woman still enjoyed walking the halls of the home and attending activities, but her disease robbed her of some functions, including the ability to eat on her own. She starved to death--a slow horrible death.

The health care legislation before Congress will codify neglect and abuse and indirect euthanasia. We've already travelled too far down this road. We must turn back. If all life is not valued, no life is valued.




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Reader Comments

All comments on this page are subject to our Terms of Use and do not necessarily reflect the views of the Examiner or its staff. Comment box is limited to 250 words.

Kevin

Aug 11, 2009

Lori,
I'm sorry for your loss. I lost my father almost 4 years ago and I think of him every day. Life is precious and is a gift from God. As family members we should not have to choose when somebody is going to die because of the care of lack of care that a patient receives. The pending 0bama health plan as most of the versions through the House suggest will put decisions about elder care in the hands of a non-medical Federal Government bureaucrat who will look at these decisions as black and white. The choice will be driven by cost. Having a 93 year old mother-in-law who lives with my sister-in-law and a 95 year old aunt who lives on her own, I treasure the elderly. I would not want anything but life saving full-blown care given if they or any of my older relatives needed to be treated in a hospital.

Life is precious whether at an early age, middle age or seasoned citizen. Treasure life and fight to keep it going as much as possible no matter what.

 

SgtDad

Aug 11, 2009

The oral of your story is true. That said, your father was indeed much -- very much -- safer at home than in the hospital. If he had been in the hospital it would not have prevented the complications and could easily have made them worse. The statistics on this issue are compelling.

 

DB

Aug 11, 2009

I too am sorry for your loss. Let us not confuse matters, though.

An insurance executive paid by a private company and an insurance executive paid by the government are both equally likely to draw lines in coverage.

A doctor paid by a privately-owned insurance company and one paid by a government-owned insurance company are both equally likely (or not) to harbor the perceptions of patient care you don't share.

The issue here is not "government" involvement. It is not agreeing with the lines drawn in coverage and the opinions of your particular doctors.

You could have paid for your father's stay in a hospital. "Medicaid" didn't decide that--they merely declined to pay for it. The same with my HMO.

 

Emily

Aug 11, 2009

At the heart of this argument over healthcare is the issue of care and compassion for other human lives. Unfortunately, too many CAPABLE Americans have allowed themselves to fall into a position where they canNOT and will NOT care for themselves, so how can they care for the people who really need help? They've allowed themselves to believe that they don't have to be responsible or accountable, and they become burdens that are preventing us from caring for orphans, widows and elderly who truly need help and compassion.

I'm so sorry your father passed away in this manner. God bless you.

And God convict the lazy and selfish "victims" who will not take responsibility for themselves so that the taxpayers and government have to.

 

ShawnH

Aug 11, 2009

Just so the author knows, my grandfather fought in WWII as well he passed away about a little over a year ago and also had dementia.. He was a teetotaler so, dont let them blame the condition on alcohol.

 

ksm

Aug 11, 2009

If an end of life decision is made by a by some official in my insurance company, at least it's MY insurance company, which I had a choice over, rather than an unaccountable government official. I get to choose my insurance company, even if I choose to decline the offerings of my employer and go independent.

 

Peter

Aug 11, 2009

But the point is, if I don't like the care I am getting from one insurer, I can change it, because it is by Contract. GovMed, MiniMed, whatever, will dictate what you will get and there will be NO OPTION. Senators, Union Thugs, Government Workers or those with (as Ayn Rand would say) "pull" will get better care than the regular folks. That in itself is evil.

 

txdoc

Aug 11, 2009

You will have to call Rahm Emannuel for permission to feed your elderly parents.

 

had enuff mike

Aug 11, 2009

my father-in-law passed away in the VA hospital, 2 years ago. He to, was a WWII veteran, surviver of Normandy, a liberator of Dachau, and the man paid the price with his memories of the death and carnage that he saw every night for the rest of his life. He was diagnosed with post traumatic and dementia, along with other complications, from his war injuries. Although, the staff at the VA, did the best they could, a Friday afternoon is not a good time to be "incoming" patient to a government run facility, as the help leaves at 3:30 pm, and arrives back Monday morning. This is what we will be facing us if this bill goes thru. The VA wanted to curtail, his dialysis treatment, everyday, to see if we wanted to be "compassionate" and save the system $$. He passed away at the age of 86, on the Friday the 13th, at 3:30 pm...what do you think we got from the "grief consular" at the VA. btw, he was a teetotaler as well.

 

Chris

Aug 11, 2009

"The lingering infection led to complications that killed him a few weeks later."

"Complications"? Did you forget the details?

 

Froggy

Aug 11, 2009

Lori, I hear you. DB, allow me to retort. The public option will lead to single payer. My insurance premiums today subsidize the under reimbursement of Medicare/Medicaid. The public option would have my insurance subsidizing all strata of society, not just the elderly and the destitute. That won't last long. The insurance companies will be BK.

Therefore, when single payer rolls around, it won't matter if you personally have the money to pay for your care. You won't have that option. When the govt. pays for everybody, nobody will be allowed to pay for themselves.

This is why wealthy and important people from socialized medicine countries around the world come to the US to get the treatment that their national health services won't give them. Where will we go?

 

Helen O'Connor

Aug 11, 2009

How unfortunate. But did anyone suggest a feeding tube?

 

Maria

Aug 11, 2009

Lori,

I am living your experience right now. My uncle for whom I am legal guardian has dementia, served in WWII, and worked for the Navy his entire life. We just can't believe that the government he served for the country he loved will do this to him.

I am so sorry for your loss, as I lost both parents while I was in undergrad, and now losing my uncle who has always been like a father to me.

God Bless.

Maria

 

Dr. Gravey

Aug 11, 2009

Sorry to hear such as sad tale. You can rest assure that King Obombma will add more stories like this. He is such a dictator and the Democrats are such wimps they follow like baby ducks.

 

RE: DB

Aug 11, 2009

You said: "An insurance executive paid by a private company and an insurance executive paid by the government are both equally likely to draw lines in coverage."

Not true. Insurance companies are sued all the time. Every try to sue the governemnt?

 

Lanier Y Chapman

Aug 11, 2009

If Lori Roman was too poor to buy private health care, as opposed to Medicare, or to give enough financial incentive to a doctor/nurse to "treat her father like their father," then I have no pity for her and her father. We live in a capitalist economy, woman!

 

Lanier Y Chapman

Aug 11, 2009

If Lori Roman was too poor to come up with the money to buy private health care, or to provide financial incentives to doctors/nurses to "treat her father like theirs," then I have no pity for her or her father. We live in a capitalist economy, woman!

 

Rudemeister

Aug 11, 2009

My grandmother was having some abdominal pain problems. She lived in Holland where they have national health care. But they ration tests and procedures. No matter how much she protested, they told her to wait in line. When they finally got around to testing her they discovered she was very sick. Her protestations were not hysterical. She died from colon cancer. I have health insurance now here in the US. In 1998 I started to get some abdominal pains and problems also. It turned out I also had stage 3 colon cancer. But I received the tests and treatments I needed quickly enough. As of this post, I am still alive.

 

Bud

Aug 11, 2009

My wife has had MS symptoms for 35 years, has been diagnosed with MS for 25 years. Over the last three years she has had 4 pneumonias and 1 full cardiac arrest. She can only move her head: she can hear, talk, reason, laugh, etc. I care for her and have refused numerous requests to sign a DNR (do not resusicate). She is in full agreement. We enjoy each day and look forward to an enternity when God says the time has come. I would not want an external authority to end our temporal relationship because of cost, scarcity of medicine, etc. We are average people with average means and an extraordinary commitment to each other and the dignity of life.

 

Amy

Aug 11, 2009

@lanier

"I begged the doctor to let him stay, citing his Blue Cross Blue Shield coverage."

You must have missed that part,(insert obscenity here).

 

Tonya

Aug 11, 2009

My father had the exact opposite outcome from his VA center. It saved his life. My father retired from the Army early and went on my mother's insurance plan. When she died he lost his coverage and could not get coverage because of his previous bypass surgery. He was too young for Medicare. Six months after my mom died, the VA diagnosed my father with aggressive prostate cancer. The same cancer that a civilian doctor had told him did not exist a year earlier although his PSA levels were doubling! If the VA hadn't been there for my father, I would have lost both parents in the year before my wedding. thankfully he was alive and well to walk me down the aisle! There are good and bad doctors on both sides. Don't confuse the issue. We have to make sure that those with preexisting conditions, those that are self employed and those that get laid off still get access to health care!!

 

John Murphy

Aug 11, 2009

This decison would have been just as likely to be made by an insurance company bureaucrat, at a much younger age than 88. My father had great care, yet he had a blood disease that wouldn't respond to treatment and he died at 41. People do die, no matter what physicians do. If they live to be 88 they're very lucky indeed.

 

historyguy

Aug 11, 2009

In 1991 the people of Ontario,Canada elected a progressive socialist government,the New Democratic Party.Wikpedia "Bob Rae" or search "Rae Days" and read what I find to be disturbing parallels to the current events in the U.S.My own father died during the "Ray Days" mandate,due to a post-operative infection, undiagnosed and untreated at the hospital.Staff levels were low at that time and the Infections Specialist was unavailable because they were on "Rae Days".Medical school enrollments and internships were drastically cut as well as doctor reinbursments.In one case a surgeon who objected found his records released to the media by Minister Shelly Martel.
Eighteen years later,this province and it's people still suffer from a lack of doctors and nurses and hospital beds.

 

John Murphy

Aug 11, 2009

Actually it was Conservative Mike Harris who destroyed the health care system in Ontario. Luckily the other 9 provinces and 3 terrories still have great health care. For every nay sayer about Canadian health care I can find you 100 who would never change it. Historyguy, you should go to the US where medical Insurance Companies stand between patients & physicians, rationing care for profit & making treatment decisions instead of physicians. BTW the NDP is more centrist than liberal Democrats in the US. The "socialist" tag is really inappropriate. This is the REAL truth about Canada and Candian health care.

 

historyguy

Aug 11, 2009

To clarify,it is more a shortage of med staff and beds than a lack of same.We Canadians do have a good system of basic health coverage,one that Obama is wrong to say would not work for Americans.It is expensive,though,and far from perfect.Wage earners are taxed heavily to support our system,and on average we pay about 50% of our income in taxes,the majority of which is earmarked to health and education.In Ontario,we are also charged a "health surtax" which tops out at approx $850.00 for someone who makes $50,000.Ad in a bunch of extra charges for supplemental health insurance premium co-pays,medical tests that may be ordered by your doctor but not covered, as well as co-pays for ambulance service,vision care and dental not covered by your insurance and it's obvious that healthcare in Canada is far from "free"

 

John Murphy

Aug 11, 2009

You must make lots to pay 50% tax. Mine is about 17% as are most people I know, and over $120,000 the tax rate is 29%.

 

John Murphy

Aug 11, 2009

Just to note: While in Canada over $120,000 the tax rate is 29%, in the US above $120,000 the tax rate is 35%

 

historyguy

Aug 11, 2009

Mr.Murphy:
I doub't that my brother and sister in law,both avowed socialist progressives and NDP support workers/organizers would agree as to whether or not I used the appropriate description or not.As it is with many of my co-workers and friends that support the NDP,it kinda depends on whats in the news on that particular day.
I have had many opportunities to personally experience our health care system and for me the "REAL truth" is based on those experiences,not on political election rhetoric.If the people of this province had fallen for the "Mike Harris Destroyed Everything" line,the NDP may have had another crack at it.I "believed" in '91,and voted NDP.
I won't make that mistake again.

 

historyguy

Aug 11, 2009

http://www.fraserinstitute.org/newsandevents/news/6736.aspx
most Canadians are aware of "tax freedom day" and what it means to the average family.
It's good to make comparisons:
"Later in its first term, Harris's government increased health spending to record levels to counter transfer cuts from the federal(Liberal) government, and hired new nurses. It also introduced Telehealth Ontario, a new 24-hour toll-free telephone help line with live connection to registered nurses. Harris also announced funding vehicles such as the Ontario R&D Challenge Fund, the Ontario Innovation Trust and the Premier's Research Excellence Awards."

 

Ant

Aug 11, 2009

I must say that while I am sorry for your loss, this article has been written in a very misleading fashion. As someone coming from a country which has a mix of socialised & private healthcare (New Zealand), I am aghast at what you people think goes on in our hospitals!

"...in essence suggesting euthanasia for a man who simply had an infection treatable with antibiotics." - Puh-leese! What doctor or nurse could live with themselves if this was happening? They would be protesting en-masse.

 

Lanier Y Chapman

Aug 12, 2009

That he had Blue Shield coverage does not weaken my argument. She should just have used private health care from the first, rather than Medicare. Why should Medicare exist? Abolish it.

 

grandma

Aug 12, 2009

If a person is participating in Medicare, and has a supplemental private policy, the private policy can only cover the balance of what medicare does not. the private insurance cannot cover any service medicare does not authorize. So unless you bypass medicare totally, which is not possible financially for most seniors, medicare still controls your health care.

 

Lanier Y Chapman

Aug 12, 2009

Abolish Medicare. Let people for pay everything from their own pocket.

 

Peggy

Aug 12, 2009

A previous post:
"DB
Aug 11, 2009
I too am sorry for your loss. Let us not confuse matters, though.
An insurance executive paid by a private company and an insurance executive paid by the government are both equally likely to draw lines in coverage."

That may be true, DB. However, you can sue an insurance company. You can't sue the federal government.

 

Jason

Aug 12, 2009

Lanier actually has a good suggestion here in abolishing medicare. If we got government out of health care, with the exception of military health care, then the market would set the rates doctors are paid, not medicare or medicaid. If we paid for most of our medical care out of pocket and everyone was required to purchase catastrophic or emergency health insurance, it would drive costs down which is something government has never done without impacting the private sector. If we did not have the extra tax burden from medicare, medicaid, and every other entitlement, the economy would improve dramatically. There is already a requirement that anyone who comes into a hospital is treated, the hospitals could handle this cost if they did not have the burden from the losses due to inadequate reimbursement from medicare medicaid.

 

Gogadgetgo

Aug 12, 2009

I am sorry for your loss. However, your attempt to use your fathers death has several inconsistencies. Based on your discriptions, i don't think this was a man with a simple "infection." Furthermore, you would be hard pressed to find a doctor, much less a hospital that would withhold anitbiotics which are cheap. You can get antibiotics for free as most groceries stores pharmacies and regular pharmacies. Also, what is this medicaid rule you are referring too? I have worked as a hospital biller and coder and I can tell you that I have never heard of such a thing.It seems that misinformation and shouts downs will do more to undermine good effective health insurance reform than any lobbyist ever could.

 

healthy guy

Aug 13, 2009

this oped reads like something from the Onion.

 

Rob

Aug 14, 2009

No healthcare for tens of millions of Americans has killed a lot more people than your father.

 

AJ

Aug 14, 2009

I am sorry for your loss. My Dad is a veteran and there is no doubt that the VA health care system needs to be overhauled, as the president has promised to do.
Why not get rid of all government-run health care and do away with Medicare while we are at it?
No? We have one government run program, the VA, that needs improvement in part because it was denied funding under the last administration. And we have one, Medicare, that is an efficient government run program that takes care of our seniors and helps keep health care costs down for all of us. Medicare was enacted by President Johnson and at the time critics said that it would lead to Socialism in this country. Sound familiar?
Perhaps the answer to our health care problems is to take what is working from the Medicare program (I believe that IS what is proposed) and ignore the scare tactics of the right. If nothing is done our health care costs will double over the next ten years. Then what?

 

sue.corbell@gmaail.com

Aug 14, 2009

The total cost including government and individual contributions in France for healthcare is around one third of the cost in the USA. In Canada it is about two thirds. In both countries the people are healthier than Americans by all research. I am sorry about your father but most fathers and everyone else except healthcare companies would be better off under a public healthcare system.

 

D. Davis

Aug 15, 2009

Health care is costly and problematic precisely because of the heavy involvement of government and insurance firms and absence of true market forces. If true market forces were allowed to do their job in health care, as they do in other areas of life, I think we would see a big push to develop kinder, gentler, and lower cost care and treatments. Fewer procedures would necessitate hospitalization. Why shouldn't organ and tissue transplants be a thing of the past and superseded by recharging and regeneration?

 

JIm Chaney

Aug 17, 2009

I just heard you on Fox. You are afraid that under new guidelines that there will be a government beaurocrat making medicare decisions? Compared to the docs who wanted him to be starved to death and not treat his illnesses, he would do much better with a government beaurocrat.

 

V for victory

Aug 17, 2009

I saw the same kind of conduct 15 years ago in Montana, when the hospital starved Dorothy S., an elderly woman, to death rather than treat her. The worst part was that her son was a physician in that hospital, and our pastor, a Catholic priest, was complicit. They would not let us go visit Dorothy. We begged our pastor to intervene but he would not. Dorothy was a lovely woman, kind to us guys who went to daily Mass. She was a pilot in her younger days, but had poor eyesight in her late 80s when we knew her, so she no longer flew planes but she still told us stories about it out on the sidewalk on warm afternoons after daily Mass. She is in heaven for sure. My pastor, not sure if he is seeing the Lord's light or feeling the heat.

 

Simon R

Aug 18, 2009

Lori, this is a TERRIBLE story!

Why did you let your father die rather than invoking your liberty to pay out of pocket for the health care you so clearly saw he needed and would have benefited from?

Perhaps your highly paid jobs as a Chief of Staff in the US Department of Education under the Bush administration, and your later job with the right-wing public policy lobbying organization ALEC (committed to "free markets, limited government, federalism, and individual liberty"), didn't pay you enough to foot the medical bills in the private market?

But at least you have your liberty!


 

Lanier Y Chapman

Aug 20, 2009

Right on, Simon R. LOL. I'm soooo tired of these whiners complaining that they can't afford the health care they think they deserve. And I was even more amused to learn about Ms. Roman's high income. Clearly, she was exercising her consumer sovereignty by choosing not to shell out the money.

 


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