Transferring the Terminally Ill
Lind, Stuart E.
New England Journal of Medicine. 1984 Nov 1; 311(18): 1181-1182.
In an effort to reduce health care costs, Medicare has established "levels of care" according to the needs of patients and the capabilities of hospitals. Payment is made only if a patient requires the level of care provided by a particular hospital. This practice can result in the transfer of terminally ill patients to new facilities and the disruption of the relationships between the patient and his physician and other familiar health personnel. Lind suggests an exemption from the Medicare requirements for those terminally ill who are best cared for in their own hospitals, perhaps within a hospice-level subgroup. (KIE abstract)