Now this is a rather obvious point to make, but it still bears making. I keep hearing people shaking their heads over the fact that costs for medical care in the last year of life far outstrip the costs before that time. In an article published in Health Services Research, based on costs of care over 10 years ago, showed an average yearly cost for Medicare recipients of a bit over $7000, but a cost of over $37,000 for the last year of life. Now if I knew I was going to die, I certainly wouldn’t want to spend $37,000 receiving boring and unpleasant medical care. But if I knew that the Apple company was going to do so well, I would have bought low. Of course medical costs are high in the final year of life, because that is the year of life when most people are sickest, and therefore are getting the most amount of medical care. Certainly having discussions with patients about what they want when they get close to the end of their lives will save money. This will reduce ...
The cost of health care in the US is higher than anywhere else in the world, and yet we are not healthier than our peer nations. In fact, in terms of such measures as infant mortality and life span, we don't measure up. Why is this? Many people involved in providing or receiving care have some pretty good ideas about what costs so much, and what we can do to reduce costs and improve quality. Sharing these stories is an important step in creating affordable universal health care.