Is it a sign of the times? A harbinger of things to come? A chilling move to bar patients from receiving medical care who fall into categories that make them less than ideal patients? According to UK's Daily Mail reporting, last year it was obese patients in east Suffolk who were refused medical care involving surgery. Now, if you are a patient treated through the Norfolk Primary Care Trust or Newcastle-Under-Lyme PCT in north Staffordshire, in need of life-changing surgery and smoke, you will be denied care unless you quit smoking.
It appears to be a matter of saving money. Public health trusts are stating that smokers suffer more complications after surgery and require more care which translates into higher health care treatment costs in financial dollars.
It would be a good idea for people who are overweight to maintain a healthy weight. Being overweight can lead to a diminished physical quality of life and disease. It would be a good idea for a smoker to quit smoking. Smoking is bad for your health, no doubt. Each of us should feel a sense of personal responsibility to live as healthy as possible to avoid disease, and to a certain extent be held accountable for the choices we make. But to be denied medical care? Today it is hip and knee replacements. Tomorrow?
This new health care policy seems a slippery slope. It makes me feel uneasy -- not reflecting our most humane and compassionate nature. It raises more than a few questions. One day, will there be additional lifestyle choices added to the criteria of who is denied care? Cancer treatments are very expensive. Could we see a day, in order to keep costs down, that some cancer patients would be denied care based on lifestyle choices? More than one expert has suggested a significant percentage of cancer development is based on lifestyles. I am just wondering where this type of policy might eventually lead.
How does the policy in cutting health care costs based on a patient's weight or lifestyle habits make you feel? Would you be in agreement to deny care to someone who practices a lifestyle habit deemed unhealthy?











1. I think financing it is well advanced only in some countries (2-5.) and the others few!
Posted at 4:01PM on Oct 23rd 2006 by Ann