Skip to comments.Oregon decides Medicaid patients will not be treated for cancer in most cases
Posted on 10/03/2013 10:47:39 AM PDT by StacyinGA
Oregon has decided that its Medicaid program will not cover cancer treatments for the following individuals:
Health Evidence Review Commission January 10, 2013 (page 128 of PDF file)
Treatment with intent to prolong survival is not a covered service for patients with any of the following:
Median survival of less than 6 months with or without treatment, as supported by the best available published evidence
Median survival with treatment of 6-12 months when the treatment is expected to improve median survival by less than 50%, as supported by the best available published evidence
Median survival with treatment of more than 12 months when the treatment is expected to improve median survival by less than 30%, as supported by the best available published evidence
Poor prognosis with treatment, due to limited physical reserve or the ability to withstand treatment regimen, as indicated by low performance status
The Health Evidence Review Commission is reluctant to place a strict $/QALY (quality adjusted life-year) or $/LYS (life-year saved) requirement on end-of-life treatments, as such measurements are only approximations and cannot take into account all of the merits of an individual case. However, cost must be taken into consideration when considering treatment options near the end of life. For example, in no instance can it be justified to spend $100,000 in public resources to increase an individuals expected survival by three months when hundreds of thousands of Oregonians are without any form of health insurance.
Here's the death panel, coming soon to a state near you.
How about them Death Panels!
Yep. Death panels are here. First it’s cancer patients. Then it’s heart patients. Then patients with diabetes.
Yes, well, here it comes.
Euthanasia was already legal in Orygun, right? Do it yourself or let Zer0.
Ping for later
The same report specifies how often a diabetes patient may check their blood sugar: three times a day.
Do a search on the PDF file, you’ll find it.
This struck me because their limits apply to a LOT of cancers.
The NHS is refusing to treat smokers for unrelated conditions. One case the man needed a skin cancer removed. NHS said no unless he quit smoking.
Gonna happen here.
This is the first nail in the Obamacare coffin. Cancer affects everyone in some way. Everyone has a loved one, close friend, or co-worker who has/had cancer.
When people begin to understand that their loved ones may be denied the opportunity to live longer, they’ll start screaming.
They have to budget or important things...you know like ‘medical’ marijuana. They can’t be bothered with all those old farts when they have marijuana fields to tend....
This plan will be for whites only....the Black KKK and Hispanic KKK will definitely make sure their race groups are treated
Since most people on ACA coverage will receive govt subsidies, it is only a matter of time before this happens to a lot more people.
I know someone who has been battling Pancreatic cancer for over two years, and is currently slowly making progress using newer treatments. According to the information I have seen, pancreatic cancer usually falls in that 6-12 month “median survival” window. Would such a patient be eligible for treatment in Oregon under these new rules since they are outside the median survival window?
I was diagnosed with Type 2 a year ago. My doctor recommended I follow the guidance in this book:
I was off metformin after the first followup, and my blood glucose readings are rarely above 110 (84 this morning). HbA1c went from 11 to 4.6 from initial diagnosis to 90 follow up. Last reading two months ago was 5.0.
Next step is to lower my cholesterol further, and get off Crestor.
I imagine it would depend on the type of pancreatic cancer they have.
Medically, I don’t see much wrong in this. Medical treatment for the poor is always just “adequate”. For example, if you have a big cavity, Medicaid dentists will often not bother to fill it, when pulling it is cheap, fast, doesn’t diminish quality of life except cosmetically, and lets them deal with the next patient faster.
On the plus side, a huge amount of research is going into cancer these days, and treatment is moving away from hyper expensive chemotherapy that just slows cancer down, to treatments that wipe it out entirely.
So spending $100,000 of public money on someone to extend their life by 3 or six months is becoming less an issue, than say spending $50,000 to make someone cancer-free, maybe extending their life by 20 or more years.
they are also renaming some cancer to IDLE
There is an random thought in the back of my mind that says, “Let Obamacare funding go through so people can see just how bad it really is.”
Then I think, “No, the NHS is a disaster for UK but there is no real movement to dismantle it.”
Is this person with Pancreatic Cancer on Medicaid?
> They have to budget or important things...you know like
> medical marijuana.
And don’t forget the gender reassignment surgeries. Those are WAY more important than the health and well-being of the old farts who worked hard all their lives.
Republicans better change their voter registration to either democRAT or independent. Why? In 0bamaville, you will get your health care last...if at all (see IPAB).
In that event I'll start smoking dope. It's legal now. ;)
“On the plus side, a huge amount of research is going into cancer these days,”
We all know that when governments take over industries that innovation skyrockets! /s
There’s more people getting cancer too. Lots of people get cancer.
Obamacare Death Panels Ahoy!
Twenty years ago, my mother had the type of uterine cancer that spreads fastest (can’t remember if that’s type 1 or 3.) Total recovery. Ten years ago she had the same thing but this time breast cancer. Total recovery. At 92 she had a hip replacement. Normally that’s a death sentence. You should have seen her work at recovery. In two weeks she could walk. Now she’s 96 and perking along just fine. I’m grateful for every moment.
Now, I agree, if somebody was a Democrat and voted Dem their whole life, they deserve to harvest what they’ve sown.
Any concentration camps in Oregon yet?
“Euthanasia was already legal in Orygun, right? Do it yourself or let Zer0.”
And some of you think that Oregon (and Washington State for that matter as well) have been Californicated. These two states make California look RED by comparison, and they have been this way for a couple of generations. And if you bother to check some of their “notable politicians,” you will find that they are from the Northeastern States or Illinois! Some of their worst RAT “termites” are not “immigrants” from California.
Well I never smoked so I’m OK?
Soon it will be members of the party ... better treatment.
When the Nazis came for the communists,
I remained silent;
I was not a communist.
When they locked up the social democrats,
I remained silent;
I was not a social democrat.
When they came for the trade unionists,
I did not speak out;
I was not a trade unionist.
When they came for the Jews,
I remained silent;
I wasn’t a Jew.
When they came for me,
there was no one left to speak out.
And then anyone who's ever said anything bad about Dear Leader.
First supporters of Obamacare, ya think?
Putting on my conspiracy theory hat, I don’t think we will “get” the cure when/if found. Cancer research is a big cash cow and think of all the labs and programs shutting down if a cure is found.
I sent this to Snerdley. I hope he and Rush look into it. It’s the best way I can think of to publicize it.
I've seen people saved by chemo and other treatments, sure. I've seen others whose lives were made an individual hell by the treatment.
What society has to own up to is the only solution for curing everyone is cheaper cures.
I love how the “announcement” of the new “guideline” on their web page completely excludes the paragraph about how much to spend to extend life, the Quality Adjusted Life Years, etc.
This messes right in with the Brendan Story from CT.
Student Lawyer that went to sign up or obamacare, and is now on medicaid.
Here’s the thing:
If you don’t allow treatment because the statistics say you have 50%/80%/whatever chance of not surviving 6 or 12 months, you’re denying life when the patient is in the 50%/20%/whatever who DO survive. There’s no way to know which patient will be in which category until treatment is done and time passes.
I don’t know how that doesn’t alarm everyone but I guess I’m just looking at it wrong.
Ooooh, I just read that Oregon didn’t provide for ANY cancer treatment at all until 2009.
So this is an “improvement” to their Medicaid program.
Gotta love that government “insurance.”
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There is and will be no cure for all cancers, because they are over a hundred different diseases. But some are being cured, many are being effectively treated, and far fewer are automatic death sentences.
Just within the last five years there have been more breakthroughs than I can count, in all sorts of different directions.
Awww, but I thought there wouldn’t be death panels!
The left loves this. What they really hate is that, before government healthcare, treatment depended on having money. If you were one of those evil (White) rich people, you could get treatment and live longer.
The poor could not get treatment, and died.
Now, under 0bamacare, everybody dies.
Looks like Oregonians might have missed a bullet. I need to watch closer to see if anything like that is coming down the pike where I live.
Oregon HB2135 (2013) tried to mandate that all insurance sold in Oregon adhere to the “guidelines” and “standards” specified by the HERC. The house bill has gone nowhere. The senate version, Senate Bill 122, has also gone nowhere.
“One case the man needed a skin cancer removed. NHS said no unless he quit smoking.”
You are joking,of course. (Rhetorical question)
This country has gone mad.
Treatment equals dependent cash flow as well. Yes there will be cures for some types but not all.
Like I said, conspiracy hat.
Oops,not a question above-—mea culpa.
Does anyone know if the Oregon exchange has to follow the HERC “guidelines?”
By those criteria, Ted Kennedy wouldnt have had his Glioblastoma Multiforme brain tumor treated.
As a radiation oncologist,Im asked to see patients with a 6-12 month survival who also have an unremitting painful bone lesion, more than 2/3rds get a good to near total pain response, allowing function and more quality time with their family, without as much dependance on narcotics and the mental suppression etc...do we just let them hurt because its expensive to treat?
Exactly. You can be sure these hacks will be able to cross reference your
name to your party affiliation. If you are a registered democrat, you will get
the treatment you need to live. If you are a registered Republician, you get
the death panels.
Should have read the bill, Nancy.