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  • In Hospice Care, Longer Lives Mean Money Lost (Patients Refuse To Die)

    11/27/2007 6:50:27 AM PST · by shrinkermd · 199 replies · 1,081+ views
    NY Times ^ | 27 November 2007 | By KEVIN SACK
    Hundreds of hospice providers across the country are facing the catastrophic financial consequence of what would otherwise seem a positive development: their patients are living longer than expected. Over the last eight years, the refusal of patients to die according to actuarial schedules has led the federal government to demand that hospices exceeding reimbursement limits repay hundreds of millions of dollars to Medicare. The charges are assessed retrospectively, so in most cases the money has long since been spent on salaries, medicine and supplies. After absorbing huge assessments for several years, often by borrowing at high rates, a number of...
  • CMU professor gives his last lesson on life (Dare you not to shed a tear)

    09/20/2007 4:07:51 PM PDT · by FormerACLUmember · 26 replies · 93+ views
    Pittsburgh Post-Gazette ^ | September 19, 2007 | Mark Roth
    Randy Pausch set the tone early on yesterday at his farewell lecture at Carnegie Mellon University. "If I don't seem as depressed or morose as I should be, sorry to disappoint you," said Dr. Pausch, a 46-year-old computer science professor who has incurable pancreatic cancer. It's not that he's in denial about the fact that he only has months to live, he told the 400 listeners packed into McConomy Auditorium on the campus, and the hundreds more listening to a live Web cast. It's more that "I am in phenomenally good health right now; it's the greatest cognitive dissonance you...