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Ageism in health care is really hidden rationing
Toronto Star ^ | 9-26-03 | Judy Gerstel

Posted on 10/02/2003 3:56:20 PM PDT by MarMema

It's been almost two years since my mother woke up one autumn morning in the apartment we shared and said she didn't have the strength to move. It was a couple of months before her 96th birthday and her dementia and frailty had been getting worse.

I took her to a downtown hospital and, after a night on a stretcher in the emergency room, she was transferred to a room on the geriatric floor.

I knew, of course, that she might never come home again. But I also knew that she would choose not to go gently into the night, that the same fierce will to live that had sustained her for 95 years, including 90 winters on the Prairies, would be a force to reckon with.

What I didn't know was how horrific the last six weeks of her life would be in the hospital as she fought to live — or that the health system to which I'd entrusted her would not always be her ally in that fight, but would declare it to be over well before she had given up.

David Globerman, who is 51 and trained as a social worker, knows what can happen to the elderly when they become patients in Ontario hospitals or nursing homes.

He talks about withholding of tests, about "passive euthanasia through omission — what we're talking about are not errors." And he refers to "horrific acts of dehydration, lack of feeding, lack of attention to bed sores, allowing people to lay in vomit and feces, using drugs to dope people."

This week, the Running To Daylight Foundation which Globerman founded five years ago co-sponsored a forum at the St. Lawrence Centre on Ageism in Health Care. It took place on the 7th anniversary of his father's death, at age 85, in an Ottawa hospital after a stroke that was not diagnosed because a CT scan was not deemed necessary, despite the family's pleas.

When Globerman surveyed people at the forum — about 85 attended including hospital reps, health care professionals, elderly people, and family members of elderly patients — 100 per cent responded affirmatively to the question: "Do you believe that some health care providers would have treated you (or a senior you know) better if you or they had been younger?"

At the forum, they talked about what Globerman calls "age-inappropriate care" at best and "conscious neglect and elder abuse" at worst.

I call it unacknowledged rationing in an underfunded health system.

"It is rationing," Globerman agrees. "At a time of scarce resources, the elderly fall to the bottom of the barrel. It's a glaring double standard.

"There's huge abuse and neglect going on in health care institutions and it should be addressed by all those existing initiatives that currently deal with elder abuse. It's plain dangerous to go into hospital if you're elderly. And it can be dangerous and a threat to health if you go into a long-term care facility."

One speaker at the forum talked about a 79-year-old woman with Alzheimer's whose broken arm wasn't set properly and the bone finally protruded, causing a life-threatening infection. "No doctor visited the patient throughout the hospitalization," recounts Globerman.

Other speakers talked of substandard care in nursing homes, with elderly relatives left to lie in their own waste or vomit and going for days or even weeks without baths or showers.

In some, if not many cases, the care and treatment of elderly people in hospitals and nursing homes "is not meeting acceptable standards," he says.

"If it were a child receiving the same care, there's no way that people would accept it."

He says, "There is no mechanism to ensure accountability."

Globerman's goal for Running To Daylight is not only to continue questioning standards for the care and treatment of elderly people but to provide independent patient advocates for them.

He can be reached at 416-782-3249 or at rtdlf@aol.com.

There's another outstanding, compassionate organization in Toronto that I'm glad to know exists.

It also helps people when they're most vulnerable, confused and trying to navigate through the health care system.

Willow was founded in 1994 to provide up-to-date information, personalized research and empathetic listening to women living with breast cancer.

This year, more than 21,000 Canadian women will discover they have breast cancer. They'll want information and conversations with other women who have had breast cancer.

Willow was created to meet these needs. Their toll-free number is 1-888-778-3100 and their Web site is http://www.willow .org.

But even though it's largely a volunteer organization, Willow needs financial support from the community, as well as from its many generous sponsors.

On Tuesday, Willow will hold its annual major fundraising event. Eat to the Beat features 40 Ontario women chefs creating snacks for sampling, tastings from Canadian wineries and breweries, live music by several bands, a martini bar, a chocolate fountain and a silent auction stocked with desirable goodies. Tickets are $135.

So many fundraising and charity events throughout the year are worthy, but this is the one I, and many women I know, try to get to.

When my mother, a breast cancer survivor, was able to get around, I took her to this event in her wheelchair.

Eat to the Beat starts at 7 p.m. at Roy Thomson Hall. Call Willow at 416-778-5000 for tickets.


TOPICS: Business/Economy; Culture/Society; Extended News; Government; News/Current Events; Philosophy
KEYWORDS: catholiclist; elderly; euthanasia; healthcare; neglect; rationing; socializedmedicine
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Not just in Canada....

Rationing HealthCare

1 posted on 10/02/2003 3:56:21 PM PDT by MarMema
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To: All
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2 posted on 10/02/2003 3:57:59 PM PDT by Support Free Republic (Your support keeps Free Republic going strong!)
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To: MarMema
There is a thing that doctors call "benign neglect". There is also "futile care". Then there is the "morphine drip".
3 posted on 10/02/2003 4:00:41 PM PDT by .38sw
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To: MarMema
>"It is rationing," Globerman agrees. "At a time of scarce resources...

Are these people nuts?
Shall everyone be given
everything? Always

_someone_ will get "less"
than someone else. Do these nuts
think we live within

a perfect world,
where somehow everyone could
just "have" everything?!

4 posted on 10/02/2003 4:08:25 PM PDT by theFIRMbss
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To: hocndoc
ping
5 posted on 10/02/2003 4:11:06 PM PDT by Libertarianize the GOP (Ideas have consequences)
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To: theFIRMbss
If someone wants to live you have no right to kill them. Who made you judge, jury and executioner. NEVER sign a living will unless you wish to be murdered.

This Xstacy generation loves to call the boomers selfish, but they are fixing to make us look like pikers when it comes to biting the hand that rocked their cradle. Nasty little bastards.
6 posted on 10/02/2003 4:12:45 PM PDT by johnb838 (Deconstruct the Left)
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To: johnb838
>If someone wants to live you have no right to kill them. Who made you judge, jury and executioner.

Listen, idiot,
at some point, reality
takes on the sad job

of culling the old.
It's not young people killing
the old. Everyone

gets old. Everyone
dies. Blaming MTV-heads
is really insane...

7 posted on 10/02/2003 4:20:09 PM PDT by theFIRMbss
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To: johnb838
Our experience was a little different. My FIL had made out a living will. It was explicit as to his wishes.

Our problem was keeping the hospital and doctors from going against his wishes. He was 92, had a stroke, then had surgery, contracted an antibiotic resistent pneumonia, was unable to communicate, and yet the doctors kept pushing us to allow them to insert a feeding tube and put him on a ventilator.

We made every decision based on his desires that had been expressed in his living will (which he had had drawn up over 10 years before.)

It was a battle, and once the hospital/doctors realized we weren't going to give in to the feeding tube and ventilator, then they wanted to withdraw hydration, which his living will had specified that he wanted. So we had to once again make clear his wishes to be hydrated until the end of his life.

8 posted on 10/02/2003 4:24:33 PM PDT by dawn53
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To: johnb838
I suppose the better 50% were aborted for the comfort of the boomers.
9 posted on 10/02/2003 4:37:10 PM PDT by rmlew (Copperheads are traitors)
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To: johnb838
Oh, yes. WE'RE selfish bastards. We, the aborted generation. We, the latch-key generation. We, the product of divorce and neglect. We're selfish.

What we are is p*ssed. The women of the Boomer generation needed to work. They needed their space. They needed to FIND themselves, almost always at the expense of their children. The men of the Boomer generation were hardly that. They ran off and forgot their spawn as if we were trash. The Boomer generation sucked dry our childhood and now they're going to go shrieking into their old age about how WE OWE THEM.

Now they want to suck our paychecks into a Social Security fund that won't even exit for our own old age. My mother's ex husband complained endlessly how it was UNFAIR for him to have to wait until he was 65 to get FULL retirement. (He ended up collecting early at 62.) My husband and I won't be able to collect until were 70, if the option still exists by that time.

Perhaps, if the Boomer generation had spent more time raising and loving their children, my generation would feel more beholden to our elders. Perhaps we would take care of our OWN parents rather than leave them at the mercy of The System. Perhaps, if we weren't so busy trying to clean up the Boomers' mess (social, political, moral), we would feel more altruistic to the ones who screwed it all up in the first place.

10 posted on 10/02/2003 6:36:24 PM PDT by Marie (I smell... COFFEE! coffeecoffeecoffeecoffee! COFFEE!!)
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To: MarMema
The French solved their aging population by denying them adequate cooling. 15,000 died of a heatwave and they're still finding bodies. Pensioner protests solved!


11 posted on 10/03/2003 1:18:56 AM PDT by Susannah (Arnold Schwarzenegger is not the Terminator....he's the Kindergarden Cop!)
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To: MarMema
Just a natural extension of abortion, that I predicted the day I heard the Supreme Court decision on Roe v Wade. Old people are a lot of trouble, and are expensive to take care of, how long before we apply that logic to the infirm, or for that matter, maybe even out of control youths?
12 posted on 10/03/2003 8:21:41 AM PDT by itsahoot (The lesser of two evils, is evil still...Alan Keyes)
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To: syriacus; Ethan_Allen; Theodore R.; conservonator; sitetest; Polycarp; ArrogantBustard
ping
13 posted on 10/03/2003 2:17:06 PM PDT by MarMema
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To: Mr. Silverback
ping
14 posted on 10/03/2003 2:19:06 PM PDT by MarMema
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To: ventana; Salvation
ping
15 posted on 10/03/2003 2:22:28 PM PDT by MarMema
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To: MarMema
Ah, the joys of National Health Care!

But who cares? It's "free"!

16 posted on 10/03/2003 2:34:00 PM PDT by Gritty
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To: dawn53
Sounds like you had a long fight on your hands. God bless you for hanging in there.
17 posted on 10/03/2003 2:55:33 PM PDT by Salvation (†With God all things are possible.†)
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To: MarMema; *Catholic_list; father_elijah; nickcarraway; SMEDLEYBUTLER; Siobhan; Lady In Blue; ...
Culture of Life or Culture of Death Discussion Ping!

Catholic Discussion Ping!

Please notify me via Freepmail if you would like to be added to or removed from the Catholic Discussion Ping list.

18 posted on 10/03/2003 2:57:29 PM PDT by Salvation (†With God all things are possible.†)
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To: MarMema
"It is rationing," Globerman agrees. "At a time of scarce resources

Which resources are scarce aside from skilled labor?

19 posted on 10/03/2003 3:02:25 PM PDT by RightWhale (Repeal the Law of the Excluded Middle)
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To: theFIRMbss
This is the first time around that the pro-death faction is very close to pushing "mercy-killing" down the throats of the public. In fact they already have.

Not only do they pressure old people to sign those living will things, but then they withhold treatment from then for things that they would otherwise recover from. I can't remember how many times I was told my mother probably wouldn't recover and that she should be "let go". Hey, if it's really the persons choice, then by all means kill them, but I don't necessarily believe the medical establishment unless I know from the persons own lips.

You just watch... "culling" the very old & very sick (eutha-nazi-a, and the very young (abortion), if allowed to go unchecked will lead to a nightmarish society beyond imagination, except in science fiction. And if you don't believe that's where the creeping incrementalizts are heading, you my friend, are either naive or evil.
20 posted on 10/03/2003 3:09:04 PM PDT by johnb838 (sarcasm tags are for wimps)
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