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This is interesting
#1
This is interesting
Quote:"In multiple studies, black patients consistently received more aggressive intervention than did white patients".

Here is the website: http://www.jwatch.org/na43011/2016/12/29...-life-care

I'll place the text here because in the past I've been told that some can't access the site.






Why the difference in black vs white medical treatment when death is inevitable? Culture, education, poor communication, trust, religion, .......? And what about financial? Is that taken into consideration differently? Plus, the skeptic part of me wonders if some are more vulnerable and taken advantage of for financial gain. 

Thoughts?
I don't have an anger problem, I have an idiot problem.
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#2
RE: This is interesting
Food for thought. 

To a very large degree medicine is driven by financial factors.  The more they do the more they charge and while medicare does not pay top of the line prices for services no one is losing money by participating.  The disparity in hospice service is intriguing.
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#3
RE: This is interesting
If family members for what ever 'cultural' reasons are asking for more or less care, why do I care?

-or-

if there are variations in terminal conditions due to inherent DNA factors that are amenable to 'more aggressive' treatment (I'm thinking kidney failure perhaps, and COPD, maybe some cancers too) well, OK, treatment protocols are different depending on what you got.

-or-

I'm missing something . . .
 The granting of a pardon is an imputation of guilt, and the acceptance a confession of it. 




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#4
RE: This is interesting
Check this out, guys.

http://www.usnews.com/news/blogs/data-mi...-heres-why


Quote: Why Black Americans Die Younger

Not all babies are born under equal circumstances, and they don't grow up the same way, either.

Poverty is a major factor.  Blacks tend to have significantly worse eating habits which leads to all sorts of medical conditions such as diabetes and high blood pressure which in turn leads to kidney disease and cardiovascular issues.  It's a little misleading to say that "end-of-life" care differs when you are comparing an 85 year old white with multiple organ failure and a 75 year old black with diabetes or kidney disease.
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#5
RE: This is interesting
(January 2, 2017 at 1:21 pm)Minimalist Wrote: Check this out, guys.

http://www.usnews.com/news/blogs/data-mi...-heres-why


Quote: Why Black Americans Die Younger

Not all babies are born under equal circumstances, and they don't grow up the same way, either.

Poverty is a major factor.  Blacks tend to have significantly worse eating habits which leads to all sorts of medical conditions such as diabetes and high blood pressure which in turn leads to kidney disease and cardiovascular issues.  It's a little misleading to say that "end-of-life" care differs when you are comparing an 85 year old white with multiple organ failure and a 75 year old black with diabetes or kidney disease.

Something along these lines was my first thought as well: I couldn't tell whether age had been controlled for, and it seems natural that younger patients will receive (and ask for) more aggressive care. So, if the average age of a black end-of-life patient is lower than the average age of a white end-of-life patient, that would be a conflating factor that would contribute.

I do think the religious thing is another factor, although probably a small one, and there's all kinds of conflating factors there too. For instance, we know that living in the rural south is correlated with lower income, lower education, and higher rate of belief in certain denominations of Christianity that, for lack of a better way of putting it, believe in a little more 'direct' intervention in human affairs (as opposed to, say, Catholicism). It could be the case that all of these factors conspire to make a rural southerner less likely to accept a diagnosis of brain death or organ failure or need for transplant or anything along those lines. Of course, a higher percentage of rural southerners are black than the average population, so this set of correlations could contribute as well.

All in all I find this very interesting.
How will we know, when the morning comes, we are still human? - 2D

Don't worry, my friend.  If this be the end, then so shall it be.
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#6
RE: This is interesting
Agreed, Joe.  Religion thrives on poverty.
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