A Case for Medicare Covering ESRD
How can a low income sick person pay for an expensive treatment especially when they are not currently employed? There are individuals that have the resources to cover any medical expenses that they may encounter in life, but certainly not everyone has such funds. When people are diagnosed with end-stage renal disease (ESRD), the health provider sadly notifies them that they will not be able to perform most of the things that they were used to doing. ESRD patients must adjust to complete change of life styles due to deteriorating health, treatment timing, and transportation from home to dialysis facilities. In most cases, people with ESRD will more than likely lose their jobs because their work and treatment
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According to “MedlinePlus,” U.S. National Library of Medicine, "End-stage kidney disease is the last stage of chronic kidney disease. This is when your kidneys can no longer support your body's needs. End-stage kidney disease is also called end-stage renal disease (ESRD)” (“End-stage Kidney Disease”). Renal failure is a disease that prevents the kidneys from getting rid of wastes and extra fluids. It can damage other organs, and it may cause death.
The option that is most frequently used to treat the disease is dialysis. Dialysis takes a person blood and passes it through an artificial dialyzer which removes toxins and extra fluids from the patient’s blood. In addition to the “Core curriculum for the dialysis technician: a comprehensive review of hemodialysis” dialysis can be done in centers or at the patient’s own home, most of the time it’s done in centers three times a week for four hours.
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With these few effects, people are not able to have a secured job to pay for dialysis services. People with this disease may lose their jobs or it will be hard for them to obtain income to pay for the necessary treatments to sustain their lives. Some personal insurances cover renal disease, but it can be expensive in the long run and will leave individuals with high debts. Medicare will cover for these treatments, so, the government must keep on funding these people so they can have the opportunity to stay alive. Thanks to the program that the government has created, ESRD patients are given an opportunity to be with their families and help society with their
Medical costs are getting too expensive. Ever fought with your insurance providers because they refused to pay for care, or struggle to find an “in-network” provider? I know a woman whose name I will change for her privacy and the struggles she is going through are a perfect example of an issue many people face when dealing with insurance; Nancy’s (name changed for privacy) story is a perfect example of how our healthcare system is no longer working for the people. Nancy is this woman whose husband recently passed away. Nancy used to work for county and county workers cannot receive social security; and Nancy is too
D.E is a 58-year-old white female who has been living with chronic illness, Chronic obstructive pulmonary disease (COPD), for 6 years. A definitive diagnosis, wasn't made until 2010, four years after the onset of the symptoms. She recalls, having a past medical history of sleep apnea, and chronic bronchitis with frequent admission in the hospital from pneumonia. She reports a past surgical history of an abdominal bilateral tubal ligation at the age of 26 years old. Mrs. D.E. reports using Continuous Positive Airway Pressure Machine (CPAP), Robitussin for cough/chest congestion, Proair-HFA two puffs every 4-6 hrs P.R.N for breathlessness and an occasional Tylenol at the onset of her symptoms occurred. She reports a one pack per
I have never been informed about the related change request is a regulatory requirement. It is quire embarrassment if I need to tell ESD that the said change request is a regulatory requirement because I never mentioned this important message on my discussion with them. To be honest, I will not ask ESD to make a judgment if it is an essential change. After my further discussion with Nathalie on this matter, she confirmed that ESD would not need to make any change of client's statement unless it is required by SFC. Before we consider taking any further action ourselves, please help to clarify with LCD whether the said change is a regulatory requirement or not? Thanks
We are very sorry to hear about your recent troubles with your O.C.P. Home Response System, Model #ED-209. We are aware of the problem with this model and its correlation to the upgrade, version 3.8.133. We completely understand your frustration, and greatly value your safety as well as the well-being of your home and all occupants within it. We fully understand the gravity of this situation and take this matter very seriously. Please know that we find this problem completely unacceptable and we would like to thank you for your understanding as we work on a solution for your problem.
Chronic Kidney Disease (CKD) is a disease that is described as a loss of kidney function gradually over time. As kidney function decreases, the waste collection in the body’s blood becomes high and makes the individual feel sick. This disease can lead to other complications in the body such as anemia, poor nutritional health, high blood pressure, and nerve damage. These complications will begin to progress and show as CKD progresses to advanced stages. Early detection of this disease is essential when it comes to treatment. If CKD is diagnosed early enough the disease progression can be slowed down and managed. This disease will eventually lead to failure of the kidneys
According to the U.S. Census Bureau, there are 49 million Americans without healthcare insurance and more than 10 million are non-U.S. citizens (http://www.census.gov). Because many people are uninsured and those that do have insurance pay high deductibles, Americans often dismiss the need for doctor’s visits for minor problems or annual physicals. As a result, health problems that can be detected at an early stage or prevented altogether become major illnesses. Individuals with disabilities hold one of the biggest weaknesses in the healthcare system because they cannot often obtain affordable health coverage.
Introduction This case study for EDBED 1009 has been based on a dance student of mine who I have seen two times a week for the past school year. I will outline the factors that may influence her learning and experiences at both school and in the dance studio such as family structure and socioeconomic status. I will be drawing on reference to theorist such as John Hattie, Bronfenbrenner, David Kolb and Howard Gardner to support my case. To conclude I will discuss the considerations I will have to consider as a teacher. Student: Louise
Primary treatments include antibiotic therapy, Fluid resuscitation, and crystalloid. Potential treatments depending on patient status include vasopressors and steroids, ventilator, renal dialysis, blood transfusion, and surgery.
pain. The second stage is the chronic renal failure, which is accompanied by feelings of
Being admitted into a hospital can sometimes lead to many expensive medical bills. This is not a problem for the wealthy or middle class. However, for those who live in poverty or are even just in between jobs this presents a major problem. How will they be able to pay for these expenses?
However, this causes a financial burden. Medicare is a program which provides insurance benefits to all individuals aged sixty-five and older, including younger people with disabilities (Grabowski, 2007). Medicare covers few long-term care services and Medicaid covers the rest of the huge amount. “Policy options include capitation, pay-for-performance, and federalization, in which federal government would assume the Medicaid’s costs for the dually eligible population” (Grabowski, 2007). Medicaid and Medicare programs do not sufficiently cover acute and long-term care services, an example. After the injury the disability process takes long. There is a language barrier, institutional barrier, and ratio cost-sharing. Also, cost shifting within health care settings, and cost shifting across health care settings needs major improvements. Policy holders should expand their critical
On April 17, a 29-year-old Pennsylvania man was arrested after police raided his Centre Township home and allegedly found drugs, firearms and an improvised explosive device, or IED. The raid took place at approximately 7:30 a.m.
For many countries such as Europe, care is allocated based on predetermined factors (Knickman & Kovner, 2015). For example, an individual may be meticulously examined from health history to their present state to determine whether they are approved for chemotherapy treatments. Allocating care, familiarly called rationing, allows countries to control expenses of health care (Stein, 2010). Based on numbers, the United States tops Europe by double of the amount of patients they see for dialysis treatments (Knickman & Kovner, 2015, p. 265). Withinn the United States, as long as the services are in the guidelines of policy to provide care, Medicare is going to cover those services no matter the
Unfortunately, Robert never had health insurance, due to his choice of employment, and his employers did not offer health benefits. Robert disregarded his health and avoided going to the Doctor for regular check-ups. In his late twenty’s Robert’s high blood pressure escalated to renal kidney failure that could not be a cure. Luckily, for Robert Medicare has an unusual clause in their insurance coverage; End Stage Renal Disease program for anyone who suffers from renal failure qualify for insurance since under the special status his age and income did not affect his eligibility. He received a kidney transplant and continues his health care routine by having dialysis a twice a week at Neomedica Dialysis Center. Robert’s attending physician Dr. Lang is
The wait times of dialysis patients before and after hemodialysis treatments have been an area of concern. In a typical morning at an outpatient dialysis clinic, all the patients for the first shift will begin to gather in a waiting room just prior to a specific time. I will use the start time of 7:00 a.m. for example. The nurses and patient care staff will arrive a considerable amount of time earlier to prepare for the oncoming shift of patients. At 7:00 a.m., the nurse in charge will begin calling each patient in one at a time. An assessment is done. The patient is weighed. His/her lungs are listened to. Many specific questions are asked. A treatment goal is determined based on protocols. Then, the assessment data is entered into a networked computer system, which is retrieved at a specific station for a particular patient. This process continues until every station in the clinic is full. Typically, a clinic will hold anywhere from 12 to 30 stations. For this example, I will use a 20-station clinic.