Astrological Musings

Astrological Musings

The hard health care choices

posted by Lynn Hayes | 5:41pm Tuesday October 20, 2009

by Lynn Hayes

An article in USA Today highlights the difficult choices that must made as we face the spiraling costs of health care.  This is the lesson of Saturn (tests and challenges) traveling through Virgo (the care and maintenance of the body):

Within a year of starting dialysis, more than half of older nursing home residents die, and nearly another third experience a significant decline in their ability to perform simple tasks, such as feeding themselves, researchers report today.
The fastest-growing group of U.S. patients starting dialysis is those 75 and older, many of whom have health problems other than kidney failure, such as dementia or heart disease. 

Some observers have questioned whether dialysis, which typically is performed three days a week for three or four hours at a time, is the best option for such patients.
Many doctors assume that palliative care is “a death sentence” for patients with permanent kidney failure, internist Robert Arnold, director of palliative care at the University of Pittsburgh, and nephrologist Mark Zeidel, of Harvard University, write in an editorial accompanying the study. 

But, they write, small studies of frail elderly patients with permanent kidney failure suggest that death rates and quality of life don’t differ much between those who go on dialysis and those who don’t. “We must define who among this population will benefit most from dialysis and who will benefit most from conservative therapy.”

Conservative punduts decrying the use of “death panels” ignore the fact that such panels actually exist today. It’s unfortunate that politics have gotten in the way of a serious conversation about these matters, which are crucial to a real understanding of what is needed to improve the quality of end of life care as well as health care for everyone else. 



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Neith

posted October 21, 2009 at 10:54 am


You will get no argument from me, Lynn. There are many, many tough choices about the final year of life and palliative care options ahead of us because it is the final year of life where the greatest expenses are incurred. Sad but true.
Those of us with Saturn conjunct Pluto in Leo will be the first of the Boomers to be faced with these choice. Lucky us!



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Chiron

posted October 21, 2009 at 12:33 pm


Unfortunately, I faced this exact situation personally with my dad. He was treated for twenty years by wondrous kidney specialists who kept his system in balance and avoided dialysis. He was able to live independently until 83 when congestive heart issues tipped the balance against him. He went on dialysis. I must say that his time on the machine afforded him the psychological opportunity to accept the end of life. There is a psychological component to such decisions. I would not cede that decision to any death panel, government bureaucrat, observer, analyst, pundit,or physician. Such a decision belongs solely with the individual and their family. No one else has the right to define what portion of another’s life is meaningless or expendable. This is the danger inherent in this health care discussion. Its all up for grabs unless its you who is the patient. Simple cost cutting as a solution will create more problems than it will solve.



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Lynn Hayes

posted October 21, 2009 at 12:53 pm


You’re right Chiron, and everyone feels differently about this. For myself, I want to spend my last days traveling, eating great food, and enjoying the company of my friends and loved ones rather than fighting a disease that will get me in the end anyway. But that’s my choice to make, and others have a different view.
But there are still difficult decisions to make, and insurance companies are making them every day. It has nothing to do with the current health care debate. Will an alcoholic be able to receive a liver transplant? Who gets a new heart, a 30-year old or a 90-year old? These decisions are made daily, whether we like it or not.



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Dianne

posted October 21, 2009 at 5:34 pm


Hi, Lynn,
Another wonderful and thought-provoking blog! Since all who are born will someday “die” to this world, it is truly up to us, or those who love us and know our wishes, to decide how and when we’re ready to leave the earth, and stop trying to live longer. At this point, with the insurance companies and Big Pharma in power, the death panels are not “political” but in the health care system, itself. I’m also a “Baby Boomer” and I’ve seen both of my parents face the end of their earthly lives. I believe that the quality of one’s life is far more important than the quanitity of years. But, that’s my opinion and we in America are supposedly able to make those decisions ourselves. I hope that with the changes that are coming with Pluto in Capricorn, that the huge conglomerate, corporate powers will be Transformed in every aspect, and health care will be only one of the changes that will occur.
Peace to all Beings, Dianne



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