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Medicare to expand 'no-pay' list

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Medicare has officially announced plans to expand the list of conditions it won't cover if acquired at a hospital. In new rules proposed Monday, it said that it plans to add nine conditions to its 'no pay' list, including deep vein thrombosis, ventilator-associated pneumonia and staph aureus bacteria. CMS estimates that the proposed rule will save CMS an extra $50 million each year during the next three years. The new rule would bring the total number of conditions Medicare won't pay for to seventeen. If the proposed rule is finalized, it's likely private insurers will expand their lists of no-pay events as well.

To learn more about the new rules:
- read this Associated Press piece

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By 2008, Medicare won't pay for hospital errors
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Comments

Good for Medicare! Nothing like a kick in the wallet to improve quality and performance. The reality is if all hospitals performed at the quality level of the top 5%, we could save 50,000 lives each year.
This is just one of the many strategies detailed in a new book, 'You Have an Ugly Baby'. Check it out or go to the site and take the test to see if your health plan is an 'Ugly Baby' at:
www.youhaveanuglybaby.com

So what is the middle class to do? The list already is too lenghty. Medicare recipiants need supplememtal insurance now and that does not cover everything. Souds like hospitalization will be a financial deathbed.

Thant is AntisepticAir.com

First, who makes the determination which conditions were caused by the hospital? Hving worked in Healthcare, I have seen errors by LVN's, RN's, even MD's, and as a patient who suffers from CRPS/RSD and who has Staph/MRSA colonized in my right hand, I have been given meds I am deathly allergic to, yet one could bet the RN's who gave me the Aspirin that caused immediate allergic reactions certainly didn't report it, nor did the RN who did not use sterile dressing procedures when doing a Central Line Dressing Change, and caused me to develop a Staph infection in a major vein, and run a temp of 106, yet I was never transferred to an ICU, but kept on a Med/Surg floor while they fought to keep it down. Then this very same RN, knowing am allergic to all tapes, especially Tegaderm, after a Surgeon starts a new Central Line, applies Tegaderm over the new site, and when my Primary Care Physician came in the next morning and saw I had a huge rash and hives all around the Tegaderm, removed it immediately, with her giving me dirty looks, as if it was my fault I am allergic to it. Or about the time, twice, being on Agonist drugs, I was given Antagonist pain meds and wound up in a Psych Unit as I went into instant Drug Withdrawal? Who reports these? At first they tried to blame me for one, but I fought back and the doctors then wrote what really caused the reaction, it was their fault.

And during my last hospital stay, I developed a UTI, and the Hospitalist, which I don't think shoild be allowed to treat patients as they don't know diddly squat about our cases, gave me a drug that is never given to a patient with Neurological disorders, of which I suffer from two. Within 15 minutes after the infusion, my whole body began to get numb and tingle all over, and I stopped it myself, and rang for the RN. I was taken down for a CAT Scan, which just exposed me to more radiation that I didn't need to be exposed to, the Scan showed absolutely nothing, all because the Hospitalist didn't read what the particular med was not supposed to be given to certain patients with certain conditions.

Patients have to become extremely educated about their own conditions, what they can and cannot be given, make sure everyone knows what their allergies are, and that there is a secondary check to make sure the patient is not given a drug that could have caused my death. Within minutes if being given the Aspirin, my arms, legs, torso were covered in huge hives, I had a difficult time breathing and was terrified of being put on a Ventilator, all due to people talking too much at the Nursing Station instead of paying attention to the patient's charts.

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