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Who said anything about heroes? We just need choices about medical necessity to be made by something other than how it might benefit some company’s bottom line.

Who said anything about heroes? We just need choices about medical necessity to be made by something other than how it might benefit some company’s bottom line. It’s not exactly donning a cape.

anonymouskimmer 3y ago
In case you didn't know: https://en.wikipedia.org/wiki/Heroic_measure https://en.wikipedia.org/wiki/Heroic_measure And yes, it's far better for triage to be done by trained medical people than by insurance adjusters. But if given the option, I'd prefer just me and my loved ones making medical decisions about me. Of course we don't have this option, but it should still be something to strive for.
- RHSeeger 3y ago
  > But if given the option, I'd prefer just me and my loved ones making medical decisions about me. But, in a system with limited resources, it makes not sense to have individuals that need the resources (but don't pay them) making the decisions. Clearly, nearly _everyone_ would say to use every possible medical option on themselves and their loved ones; even if doing so cost other people (with more established and inexpensive treatments) their lives. For any system where lots of people pay in, and everyone shares the resources, the decisions on how the resources are distributed _must_ be made by something other than individuals in the group that need them.
  - anonymouskimmer 3y ago
    > For any system where lots of people pay in, and everyone shares the resources, the decisions on how the resources are distributed _must_ be made by something other than individuals in the group that need them. Actually it might be nice if all such decisions were made by a panel of people from just such a group. Regular people may prioritize some classes of people over others, but are probably less likely to than an elite panel.
    - RHSeeger 3y ago
      > a panel of people from just such a group Oh, certainly; though I'd argue they should have input from medical and financial experts, too. But regardless... > just me and my loved ones making medical decisions about me The decisions made by only the person needing treatment (and their loved ones) is definitely going to result in the resources being bled dry way too quickly.

Who said anything about heroes? We just need choices about medical necessity to be made by something other than how it might benefit some company’s bottom line. It’s not exactly donning a cape.

anonymouskimmer 3y ago

In case you didn't know: https://en.wikipedia.org/wiki/Heroic_measure https://en.wikipedia.org/wiki/Heroic_measure And yes, it's far better for triage to be done by trained medical people than by insurance adjusters. But if given the option, I'd prefer just me and my loved ones making medical decisions about me. Of course we don't have this option, but it should still be something to strive for.

RHSeeger 3y ago
> But if given the option, I'd prefer just me and my loved ones making medical decisions about me. But, in a system with limited resources, it makes not sense to have individuals that need the resources (but don't pay them) making the decisions. Clearly, nearly _everyone_ would say to use every possible medical option on themselves and their loved ones; even if doing so cost other people (with more established and inexpensive treatments) their lives. For any system where lots of people pay in, and everyone shares the resources, the decisions on how the resources are distributed _must_ be made by something other than individuals in the group that need them.
- anonymouskimmer 3y ago
  > For any system where lots of people pay in, and everyone shares the resources, the decisions on how the resources are distributed _must_ be made by something other than individuals in the group that need them. Actually it might be nice if all such decisions were made by a panel of people from just such a group. Regular people may prioritize some classes of people over others, but are probably less likely to than an elite panel.
  - RHSeeger 3y ago
    > a panel of people from just such a group Oh, certainly; though I'd argue they should have input from medical and financial experts, too. But regardless... > just me and my loved ones making medical decisions about me The decisions made by only the person needing treatment (and their loved ones) is definitely going to result in the resources being bled dry way too quickly.