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Re: Infant MortalityFrom: David Rivera (cuurmudgeon@sbcglobal.net)Mon Jun 13 13:11:33 2005
So have the RTLs started to picket? <dean@thehuffpeople.net> wrote:. I believe that the state of Oregon refuses to pay (Medicaid) for care of infants less than 24 weeks of gestation. Dean Huffman - - - - Date: Sun, 12 Jun 2005 19:13:32 -0500 Reply-To: ob-gyn-l@obgyn.net Originator: ob-gyn-l Sender: ob-gyn-l@obgyn.net From: Harrison Sheld To: Multiple recipients of list OB-GYN-L Subject: Re: Infant Mortality X-Comment: Obstetrics & Gynecology for MEDICAL PROFESSIONALS ONLY X-ELNK-AV: 0 Last week the leading ethicist in England recommended to the Royal College of Paediatrics and Child Health that infants less than 24 weeks not be resuscitated. I believe Holland does that already. We may see this when the health resources get tight enough here. Henry Gregor wrote: Oh yes, Anna, you are so right. Some years ago, in the Wash DC area, with abysmal mortality stats, not even a "Mom Mobile" that went out to the patients (to alleviate the problems of patients not being able to , or wanting to , or whatever - to get to clincic ob appts) made much of an impact....many pts still wouldn't show for care, or comply with Rx/advice. While we should all do our damndest to help as we can, ultimately we are not in control of, or responsible for, much of what contributes to our outcomes. It is a free society, and we are not culpable or responsible (uh...there are some folks who like tort systems who might, just maybe, perhaps, say we are...lol) for the choices people make. For those reasons, I don't think we should buy into the sack cloth and ashes mentality of other folks, disciplines, insurance co's or govt orgnaizations that want to slam medicine as failing its duty in this regard...just my ventilated thoughts here on a rainy afternoon. Hank H rmodugno@aol.com wrote: I think our abysmal ranking in infant mortality is due to factors the medical system can't really address (like substance abuse). "Anna Meenan, MD" wrote: And the resuscitation of extremely premature infants (less than 24 weeks)who,in other countries, would not be resuscitated and classified as "abortions", rather than neonatal deaths. Robert Modugno MD MBA FACOG Marietta, GA Use Yahoo! to plan a weekend, have fun online & more. Check it out!
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