Hospice Patients Alliance: Consumer Advocates


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While there are many wonderful hospices and hospice staff professionals all over our nation, we wish the public to be aware of new developments relating to hospice and that there are some problems within the industry.

Because of the problems in the hospice industry, many organizations including our own are working diligently to help correct these problems. The following articles discuss developments or news of interest to those concerned about hospice care and the terminally ill.






In the Business of Dying: Questioning the Commercialization of Hospice
Journal of Law, Medicine & Ethics. 2011 Jun;39(2):224-34

The Efficacy and Safety of Subcutaneous Tetrodotoxin (Tectin™) for Moderate to Severe Inadequately Controlled Cancer-Related Pain
April, 2009: A "current proposed study (TEC-006) is designed to 1) demonstrate in a double-blind, placebo-controlled trial that the subcutaneous 30 ?g b.i.d. dose of Tectin™ for 4 days is effective in reducing pain outcome and improving quality of life; 2) characterize the onset and duration of analgesia, and 3) demonstrate that Tectin™ is well tolerated in patients with inadequately controlled cancer-related pain."

Medicare Hospice Care For Beneficiaries in Nursing Facilities: Compliance With Medicare Coverage Requirements
In September, 2009, the U.S. Dept of Human Services, Office of Inspector General ("OIG") released a report showing the continuing problem of fraud committed by hospice agencies, this time when nursing home residents are enrolled into hospice programs.

OIG September 2009 Memorandum Report to Centers for Medicare Services
In September, 2009, the U.S. Dept of Human Services, Office of Inspector General sent this Memorandum suggesting that the rSept, 2009 report contained information about the services actually provided to residents in nursing homes, so they might consider adjusting the amounts paid to hospice agencies (with the implication that they should be paid for the services they actually provided rather than what they were supposed to provide and did not).

Improving the Quality of Health Care Decisions
By Sara Buscher, Attorney & C.P.A. February, 2009. "Qualitative futility decisions are based on doctors’ personal views about individual patients. Thus, study after study has found doctors’ decisions to stop treatment for elderly and disabled patients were more related to the physician’s age, experience, race, gender, specialty, risk aversion, religious convictions and marital status than to clinical factors.

Peninsula health-care locales preparing to assist with suicide under new [Washington State] initiative law
By Rob Ollikainen Peninsula Daily News February 22. 2009

Large Hospice Chain [SouthernCare, Inc.] to Re-pay $24.7 Million for Health-Care Fraud
U.S. Dept. of Justice January 15, 2009

Medicare Advisory Committee Approves Recommendation to Revise Hospice Reimbursement System
Kaiser Daily Health Policy Report January 12, 2009

*Montana judge: Man has right to assisted suicide*
By Amy Beth Hanson Associated Press December 6, 2008

Washington state to allow assisted suicide
USA Today March 1, 2009

NJ nurse charged with killing 72 year-old patient
The Associated Press Sept. 8, 2008

The Long-Term Solution
By Ron Panzer, Pres., President Hospice Patients Alliance Sept. 17, 2008

Death With Dignity or Obscenity? Part One: A Real Danger
By Jean Echlin, Nurse Consultant The Euthanasia Prevention Coalition Fall, 2008

Oregon: Pressuring Patients to Accept Assisted-Suicide by Denying them Health Care
By Dan Springer Fox News July 28, 2008

North Miss. Hospice Doctor charged with cyber stalking
By Holbrook Mohr The Sun Herald Jun. 19, 2008
"The relatives of several people who died at the hospice claim that their loved ones were intentionally given lethal doses of narcotics such as morphine. "

CMS outlines Revised Medicare hospice regulations
by Jessica Zigmond ModernHealthCare.com June 4, 2008

Is Palliative Sedation Becoming Another Form of Euthanasia?
by Nancy Valko, RN LifeIssues.net 2008

Miss. Supreme Court to hear hospice overdose case
By Holbrook Mohr Associated Press May. 11, 2008

For the Elderly, Being Heard About Life's End
by Jane Gross The New York Times May 5, 2008

When lives end slowly, it's costly
by Bill Lohmann Richmond Times - Dispatch Mar 8, 2008
Author says that for boomers, hospice and palliative care are excellent end-of-life choices
[this article is archived now]

Lake Elmo woman makes miracle recovery from "brain dead"
By Allen Costantini KARE 11 News Feb 13, 2008

Hurricane Doctor Suspended
Doctor suspended for giving drugs that may have sped up death

Parents battle over life of brain-damaged daughter
By Sean O'Sullivan The News Journal Jan 31, 2008

The Probate Murders
by Janet C. Phelan SF Bay Area Ind Media Ctr Jan 22nd, 2008

Awakenings The Schiavo case revisited
by Wesley J. Smith The Weekly Standard Nov 5, 2007

Whatever Happened to Common Sense at the End of Life?
Nancy Valko, RN LifeIssues.net 2007

Hospice care decision fought Nephew says he, not government, should decide on end-of-life health care for his terminally ill uncle
By Marie Rohde Journal Sentinel Oct. 17, 2007

Doctors pull plug, comatose woman wakes up
By Mike Celizic TODAYShow.com Sept. 10, 2007

Still Rationalizing Terri's Deat
by Bobby Schindler [Terri Schiavo's brother] North Country Gazette August 22, 2007

Terri Schiavo Case Opened Pandora's Box for Mistreating Disabled Patients
by Carrie Hutchens LifeNews.com July 5, 2007

Study Shows Forty Percent of PVS Patients Misdiagnosed, Half Recover
by Steven Ertelt LifeNews.com June 21, 2007

Texas: Is Death Row Safer Than a Hospital Bed?
by Carrie K Hutchens Dakota Voice June 10, 2007

Texas Catholic Bishops Endorse Utilitarian Futile Care Theory Renowned lawyer and bioethics critic Wesley J. Smith slams Texas Catholic Conference
By Hilary White LifeSiteNews.com May 3, 2007

The dehydration death of a nation
By Bobby Schindler March 30, 2007 WorldNetDaily.com

The Invisible Holocaust
by Ron Panzer, Pres., HPA Celebrate Life Magazine March/April, 2007

First, Do Harm... A betrayal of the hospice movement
By Wesley J Smith THE WEEKLY STANDARD 3/10/2007

When Killing Yourself Isn't Suicide Word games may win the day in the battle of physician-assisted suicide
By Rita L. Marker & Wesley J. Smith National Review March 05, 2007

Texas Does It Big Once Again: Futile Care Law Blunder
By Carrie K. Hutchens The Dakota Voice Feb 28, 2007

The Role of Marketing in an Emerging Healthcare Sector: The Case of For-Profit Hospices By Newbold, Ahmed & Mehta; Sam Houston State University 2006

Why Application by Hope Hospice for Licensure as Funeral Services Provider Must be Denied
by Ron Panzer, Pres., HPA Hospice Patients Alliance Dec 7, 2006

Hospital serial killers are big threat, study says
by Liz Szabo USA Today Dec 12, 2006

Dying the Liverpool Way
The Liverpool Care Pathway is being promoted in the UK as “best practice” for end of life care.
comments from Dr Gillian Craig. MD, FRCP. Vice Chairman Medical Ethics Alliance

Talks Delayed as Hospice Applies to be Licensed as Funeral Services Provider
Bonita News; November, 2006: Hope Hospice applies for funeral services license. Board of Funeral Services expects controversy.

Odyssey Healthcare to Pay U.S. $12.9 Million to Resolve Hospice Fraud Case Odyssey HealthCare, a national hospice provider, has paid the United States $12.9 million to settle allegations that the company submitted false claims to Medicare.

Debate surrounds end-of-life health care costs
By Julie Appleby, USA TODAY October 19, 2006

Texas nurse sentenced to life after pleading no contest to killing 10 patients with drugs
By Angela K. Brown Assoc Press October 5, 2006

Covenant Hospice: Prolife to the End-of-Life
By Anita Crane and Sean Gallagher "Celebrate Life" Magazine Sept/Oct 2006 Issue

Grief fades within 6 months for many widows Reuters; March, 2006: "The sad image of a grieving widow may not be entirely accurate, according to a study published on Tuesday showing that six months after the death of their partner, nearly half of older people had few symptoms of grief."

WHO LIVES, WHO DIES? Welcome to the brave new world of euthanasia, assisted suicide and 'futile care' Whistleblower Magazine; May, 2005: This edition of Whistleblower shows how, despite America's many highly ethical hospice workers and nurses dedicated to life, the end-of-life industry has also been invaded by "right-to-die" activists. "WHO LIVES, WHO DIES?" also reveals the perverse state of "medical ethics" – where some of the top ethicists espouse some of the most unethical views imaginable. It documents the dangers of "advance directives" or "living wills." And it exposes the scandalous classification of food and water provided by a feeding tube as "medical treatment" – thereby justifying the denial of basic sustenance to patients who had intended to forego "extraordinary measures" like heart-lung machines, but not be denied food. [This links to a single vitally important edition of the newsbreaking magazine, Whistleblower, and is for sale online.]

Warning - Are You Being Targeted For Euthanasia?
By Mary Therese Helmueller, R.N. Rense.com March 30, 2005

Managed Death: Hospice's 'Civil War' By Susan Brinkmann, CS&T Correspondent, March 2005: " The American hospice industry also differs from its British parent in that it's founder, Florence Wald, M.S.N., is an open advocate of euthanasia."

Attorney: Terri cried at news Claims brain-damaged woman said she wants to live
WorldNetDaily.com March 18, 2005

Michael Schiavo Admits on Larry King that he did not know what Terri wanted re her wishes
see interview. Michael Schiavo says, "I've also said that in court. We didn't know what Terri wanted, but this is what we want."

Nurse: Michael tried to kill Terri
Worldnetdaily.com March 22, 2005

Terri Schiavo- Why the Rush to Put Her to Death?
by Kerry L. Marsala Men's News Daily March, 2005

Eugenics and the Nazis -- the California connection
by Edwin Black SF Gate November 9, 2003

Feeding Tube Decisions: The Hospice Language Barrier
by Barbara Olevitch, PhD The Catholic Exchange January 12, 2005

Dutch euthanasia law should apply to patients "suffering through living," report says
by Tony Sheldon British Medical Journal January 8, 2005
BMJ  2005;330:61 (8 January), doi:10.1136/bmj.330.7482.61

UK's 'Dr Death' [Harold Shipman] probably killed about 250 patients
Reuters January 27, 2005

'Persistent Vegetative State' is often confusing
by Cindy Province Baptist Press Jan 14, 2005

Fatal Neglect by King/Drew Nurse Alleged
By Tracy Weber LA Times  January 8, 2005

George Felos' worldview in the Schiavo debate
By James A. Smith Sr. FL Baptist Witness March 17, 2005

No Prosecution for Dutch Baby Euthanasia - Study
Reuters Jan 22, 2005

'Death with Dignity' a slippery slope
Times Argus January 14, 2005

Palliative Practices  - An Interdisciplinary Approach [now available]
By Kim K. Kuebler, MN, RN, ANP-CS, Mellar P. Davis, MD, FCCP and Crystal Dea Moore, MA, MSW, PhD

"Dying Comfortably" of Starvation and Dehydration: What Is the Evidence?
by Barbara A. Olevitch, Ph.D. February 21, 2005

Pharmacist Warns Public About Use of Compounded Medications in Hospice
by Sarah Sellers, PharmD and M.P.H. February 21, 2005

Euthanasia: Who Needs It?
by Sharon A. Falkenheimer, M.A., M.D., M.P.H.  Center for Bioethics & Human Dignity January 31, 2005

How to Save Medicare? Die Sooner
By Daniel Altman  New York Times February 27, 2005  

THE END GAME - Why Terri Schiavo Has To Die
THE CATHOLIC ADVOCATE Vol. 13  No. 5/6  June/July 2004

New Clinical Practice Guidelines for Quality Palliative Care Released
May, 2004:   Palliative care programs are growing in response to patient need. They provide assessment and treatment of pain and other symptoms; help with patient-centered communication and decision-making; and coordination of care across settings and through serious illness. These Guidelines, developed through consensus of five major United States palliative care organizations, describe core precepts and structures of clinical palliative care programs.

Central Texas unprepared for elderly boom, experts say

Finally (or Not), Relief Palliative Care Aims to Soothe the Sickest,
Even When Hope Remains Alive

" Class Action Lawsuit Filed Against Hospice:
Diversion of Funds and Violation of Confidentiality Alleged
"
and: "Hospice donations diverted, suit says" and archives

" Hospice Horrors"
[Washington Dispatch: 1/10/01 Commentary by Judie Brown: President, American Life League. "Many people have had an elderly relative or a friend who has been cared for in a hospice setting or received hospice care in the home. But rarely do we read of someone who has had a tragic experience with hospice...."

" Last Acts releases state by state report (Means to a Better End) on End-of-Life Care"
This is a long-awaited study on hospice and palliative care delivery throughout the USA. Even Last Acts, a major coalition of organizations serving as a proponent of hospice and palliative care, admits that states "do a mediocre job of providing for end-of-life care for its residents. ...."

[Update for 2005: Last Acts Partnership ceased its activities and all rights and copyrights to material produced by both Partnership for Caring, Last Acts and Last Acts Partnership were legally obtained by the National Hospice & Palliative Care Organization which has never renounced the dark agenda of these successor organizations associated with the former Euthanasia Society of America! Since NHPCO represents the national policymaking leaders within the hospice industry, it can be stated with certainty that the hospice industry has clearly been infiltrated by euthanasia advocates and that many hospice leaders are promoting the euthanasia agenda. - Ron Panzer]


" Finding Our Way: Living with Dying in America - The Online Course "
A new self-paced course on Living With Dying in America is now available to all Americans. This free, web-based course is part of the Finding Our Way national public education initiative focused on bringing practical information on end-of-life issues to the American public.

" Assisted Suicide No Act of Compassion"
[05/10/02-An editorial article from the Indianapolis Star detailing how far euthanasia in the Netherlands is progressing and why it is not an act of compassion. "Essayist Malcolm Muggeridge saw irony as well in that it took only a generation of Dutch doctors "to transform a war crime into an act of compassion." now in archives.

"Hospital-Hospice Partnerships in Palliative Care; "Creating a Continuum of Service"
12/2001 NHPCO/CAPC report

" License to kill - Hospitals reserve the right to pull your plug"
[12/02/01- San Francisco Chronicle: by Wesley J Smith, JD]
Explains how hospitals have already instituted policies giving them the legal framework to kill patients, or make choices that result in the killing of patients -- all legally.

Ashcroft to Pursue Suicide Doctors
[11/06/01- WASHINGTON -- Attorney General John Ashcroft gave federal drug agents the go-ahead Tuesday to take action against doctors who help terminally ill patients die, a move aimed at undercutting Oregon's unique assisted-suicide law. ....

Docs Must Take Classes In End-Of-Life Care
[11/01/01- McKnight's Long Term Care News] If physicians in California want to renew their medical license, they must take continuing education classes in end-of-life care and pain management ....

Dying as she lived, with Grace
Hospice co-founder led rich life helping the terminally ill

[by Jim Sheeler, Special to the Denver Post, 10/21/01] Carolyn Jaffe, hospice nurse for decades recently passed away. Co-founder of Hospice of Metro Denver, Jaffe exemplified the very best in hospice care! See this article for an example of the real hospice mission.

American Psychological Association
Puts Out Fact Sheet on End of Life: What Are Older Adults' Mental Health Needs Near the End of Life?

[8//01].

End-Of-Life Cancer Care Faulted in Report
(Reuters, 6/19/01) - The medical establishment, fixated on finding a cure for cancer but largely inattentive to the agony of patients, must devote more resources toward improving the quality of life of Americans given a death sentence by cancer, ....The National Cancer Policy Board of the Institute of Medicine and National Research Council issued a series of recommendations in a report focusing on palliative care... At least half of cancer patients suffer major physical and psychological symptoms -- such as severe pain, labored breathing, nausea, sleep disturbances and depression -- during the course of their disease, the report said. These symptoms ``vastly diminish the quality of those lives,'' the report said.

The failure of doctors and nurses to control the raw pain that accompanies many cancers and treatment methods is a source of great anguish to patients and their families, said Dr. Joanne Hilden, a pediatric cancer specialist at the Cleveland Clinic Foundation who served as a consultant on the report.

[Note: A need for more research and funding for palliative care and hospice services was emphasized - HPA]

Focus On End-of-Life-Issues
From the National Institute of Nursing Research (part of NIH):   "Families report that dying relatives in the last week of life have much more pain and other physical distress, e.g., nausea, shortness of breath, than physicians and nurses think they have," .... explains the need for quality hospice care as the ideal alternative to routine hospital or nursing home care.

Blacks More Sensitive to Pain Than Whites
WASHINGTON (Reuters - 3/22/01) - Blacks report greater sensitivity to pain than whites, researchers said on Thursday, a finding that may suggest why previous studies have shown that blacks tend to receive inadequate treatment for pain.
[Note from HPA: All physicians and nurses are trained to respect the patient's own report of pain as one of the main indicators of whether or not a person is experiencing pain. If pain is not tolerated as well by blacks, then hospice professionals need to be especially attentive to the reports from black patients concerning pain issues. Some nurses or physicians may be providing inadequate pain relief, if this report is confirmed by further research, because they may be unaware of the increased perception of pain in blacks.]

Speaking the Language of Pain
A very important initiative to reduce pain in the dying by the Missoula Demonstration Project (MDP) has been reviewed by D. M. Mayer, MS, RN,CS; L. Torma, MSN, RN, CS; I. Byock, MD; K. Norris, PhD [American Journal of Nursing, 2/2001, Vol. 101 No. 2, P.44]
In 1997, with a three-year grant from the Mayday Fund (dedicated to the "reduction of the physical and psychological toll of pain and its consequences"), the MDP launched a community-wide initiative to establish pain as the fifth vital sign, with the goal of improving the assessment and treatment of pain in Missoula. This initiative, dubbed “Pain as the Fifth Vital Sign,” was modeled on the successful work of earlier projects, such as the Wisconsin Cancer Pain Initiative, which sought to improve management of cancer pain in the state’s medical institutions." Yet it was the community aspect of the MDP plan—to educate providers and the public about the importance of pain assessment—that set it apart: its focus encompassed both clinical and nonclinical settings."

Hungarian Police Arrest Nurse in Euthanasia Case
Saturday, February 17, 2001; BUDAPEST (Reuters) - A Hungarian nurse suspected of performing euthanasia on more than 30 terminally ill patients was formally arrested on Saturday in the first such case known in Hungary, Hungarian television reported.

Kaiser Hospice Under Threat Of Losing Medicare Funding
by Janet Wells, Chronicle Staff Writer, Saturday, June 10, 2000
Plagued by patient records that one nurse called 'deplorable,' Kaiser Oakland's home hospice program was under threat of losing the Medicare funding crucial to providing services to hundreds of terminally ill patients. [Note: they must have put in a plan of correction that the State of California accepted, allowing this HMO hospice to continue to function]

Prominent Hospice Doctor Supports Pain Relief Promotion Act
Pain relief should be nonpartisan By Eric Chevlen, M.D. Expert in Hospice Care believes that federal government may be acting to create license to kill in hospice situations ...

Death Without Dignity & Terminal Sedation
originally posted at:    Death Without Dignity and (cont.) Terminal Sedation
(Salon.com April 19, 2000) article presents a striking account of how eager doctors are to learn about sedating patients into a medically-induced coma ....

The Joint Commission Releases New Standards for Pain Control http://washingtonpost.com/wp-dyn/articles/A29643-2001Jan7.html
An article entitled "New Medical Standard Brings Pain Into Focus" by Susan Okie, Washington Post Staff Writer on Monday, January 8, 2001 ; Page A03
These new standards are a wonderful step forward in the management of pain throughout all The Joint Commission accredited health care facilities (which includes about 80% of hospitals). The standards encourage careful measurement and treatment of pain. Pain control is being seen as a patient's right, according to The Joint Commission spokesmen.

Dutch Approve Euthanasia Law on Tuesday Nov. 28, 2000
Dutch Parliament openly gives approval to practice of euthanasia which has widely been performed in Netherlands, but was not legal till now. Euthanasia movement gains ground.

Doctors "help kill one in 10 Belgians"
The BBC of England reports that thousands of patients are killed without their consent, and much more. Friday, 24 November, 2000

"The painful truth of hospice care"
and
Family sues hospice over son's suffering
HPA comments on email protest from hospice executive director
Prominent Oregon Physician responds to Hospice Industry

"Responsible hospice organizations should welcome the clear light the USA Today articles shed on a serious problem. Any conscientious medical organization wants to recognize problems and correct them, not hush them up." -  N Gregory Hamilton, MD
                former President of Physicians for Compassionate Care

International Anti-Euthanasia Task Force
Details practice of killing patients in Netherlands
and elsewhere (covered up by term "euthanasia")

In a well-documented article by Rita L. Marker and Wesley J. Smith, a clear picture emerges of a trend toward killing off the infirm, chronically ill or somehow undesired people. Sounds unbelievable? We know it's true, because we receive similar reports consistently from all over the U.S.A.

Survival in End-Stage Dementia Following Acute Illness
from the Journal of the American Medical Association
JAMA - Vol. 284 No. 1, July 5, 2000.
Author Affiliations: Hertzberg Palliative Care Institute, Department of Geriatrics and Adult Development (Dr Morrison), and Department of Medicine (Dr Siu), Mount Sinai School of Medicine, New York, NY.
Patients who have Alzheimer's disease or other forms of dementia are often not given appropriate hospice care to ease pain and suffering and would benefit from increased attention to their comfort needs

When Will Prosecutors Act? Facts Show Thousands of Terminally Ill May be Murdered
Psychiatrist Robert Weitzel was convicted in Farmington, Utah on July 11, 2000 of causing the death of five patients by giving overdoses of morphine. Research reported in the Journal of the American Medical Association shows other physicians have also killed their patients.

The Dying Process Can be Eased for Cancer Patients and Families
from Oncology.com and written by Heather Lindsey dated May 26, 2000.
Hospice services and good pain management can result in a positive experience for the dying and their families.

Alternative Designation to DNR promotes better End of Life Care by Allowing Natural Death
New designation: A.N.D. would promote positive view of allowing natural death, avoid confusion resulting from interpretations of DNR designation, and promote comfort care only for the terminally ill who choose to be allowed a natural death.

A Question Of Homicide? And How Much Morphine Did She Really Get?
One of the very few articles that was actually published confirming the imposed deaths of hospice patients. In this revealing CBS 60 Minutes II report, the medical examiners in Volusia County found that up to 19 hospice deaths may have been morphine overdose cases. The coroner's office docs were fired, a special commission of hospice docs was empaneled to cover up the scandal. The local prosecutor refused to prosecute the deaths!

Summary of article: The practice of euthanasia
and physician-assisted suicide in the United States.

For complete article see JAMA 1998 Aug 12;280(6):507-13 entitled The practice of euthanasia and physician-assisted suicide in the United States: adherence to proposed safeguards and effects on physicians. written by Emanuel EJ, Daniels ER, Fairclough DL, Clarridge BR done at the Center for Outcomes and Policy Research, Division of Cancer Epidemiology and Control, Dana-Farber Cancer Institute, Boston, Mass 02115, USA.]

Attitudes and Practices Concerning the End of Life
A Comparison Between Physicians From the United States
and From the Netherlands

An article in the Archives of Internal Medicine, Vol. 160 No. 1, January 10, 2000 (by Dick L. Willems, MD, PhD; Elisabeth R. Daniels; Gerrit van der Wal, PhD; Paul J. van der Maas, PhD; Ezekiel J. Emanuel, PhD) reports the varying percentages of physicians in Oregon who were willing to increase the dosage of morphine given under various patient circumstances, including giving morphine for simply feeling that life was meaningless or for debility, in addition to the medically approved and appropriate use for severe pain.

Community Health Accreditation Program (C.H.A.P.) Has Deeming Authority for Hospices
Federal government now recognizes CHAP hospice standards as meeting or exceeding federal standards for participation in Medicare. C.H.A.P. is currently the only national accreditation organization authorized to perform Medicare, hospice surveys.

California Assemblywoman Introduces Bill to Hasten Pain Relief
Helen MacLeod Thomson's bill would streamline prescription of pain medications for the suffering. Reducing unnecessary red-tape would help patients receive pain relief sooner and assure that more physicians would prescribe the medications needed to control their pain.

Insider Information about the Lack of ethics in Healthcare
Testimony of Linda Peeno, M.D. Before U.S. House of Representatives
on Unethical Practices of the Managed Care Industry
(how for-profit motives corrupt health care in general)
5/1996

Textbooks Not Teaching Doctors About End of Life Care
Review of 2/2000 article in the Journal of the American Medical Association

Criminal Act or Palliative Care?
Prosecutions Involving the Care of the Dying

article by Prof. Ann Alpers posted at the website of
The American Society of Law, Medicine & Ethics

Dying Children Receiving Poor Pain Management
Review of 2/2000 article in the New England Journal of Medicine about pain management in terminally ill pediatric cancer patients.

Patients Injured by Bed Siderails Nationwide
Review of 2/2000 articles from Detroit Free Press
Some Facilities Do NOT Tell The Family!
by Free Press staff writers David Zeman and Patricia Montemurri

When did we decide to execute our old and frail?
from the Daily Express newspaper, United Kingdom/Great Britain, Dec. 7, 1999
Investigators are looking into 60 cases (yes, that's sixty cases) of involuntary euthanasia/murders of the elderly and frail in the United Kingdom. When you place your loved one in the hospital or hospice, you may not see them again, or for long, according to this report. And we at Hospice Patients Alliance know that the same thing is happening here in the United States. We receive numerous reports of these types of euthanasias occurring against the will of the patient and family.

HCFA Representative Testifies About Status of Hospice Care
and Medicare Benefit: October 1999

PBS Report on Investigation of Medicare Fraud in Hospices
Correct Care? Transcript of a report from The NewsHour with Jim Lehrer (June 19, 1997) examining an investigation by the federal government, named Operation Restore Trust, into instances of Medicare fraud that have occurred in some hospices nationwide.

Review of a 1998  Washington Post  report on the effect on some Hospices when being operated by for-profit corporations which are taking over health care. Some hospices are being adversely affected by the "for-profit" mentality of some for profit corporations. Although some for-profit hospices are continuing to provide excellent care, others have failed to provide proper care. Also see article at: www.calnurse.org/cna/news/wp61498.html

Reforming the Health Care Insurance Industry
Guest article by Dr. Harvey Frey, MD, PhD, JD
re-posted here with permission of
The Health Administration Responsibility Project

Click here to see the U.S. Office of Inspector General's
COMPLIANCE PROGRAM GUIDANCE FOR HOSPICE INDUSTRY FROM OFFICE OF INSPECTOR GENERAL (October 1999). Hospices are coming under increasing scrutiny from the Federal Government. This report details areas where unfortunately some hospices are not complying with the regulations assuring top quality hospice care. It offers suggestions and interpretations of the regulations to further help hospices comply with the law and provide the services needed by the terminally ill.

O.I.G. Fraud Alert about Illegal Hospice Kickbacks
between Hospices and Nursing Homes
From the U.S. Federal Register 1998 April 24;63(79);20415-7)
This fraud alert from the U.S. Office of Inspector General identifies types of violations of the Medicare anti-kickback statutes seen where nursing homes and hospices might illegally "pay" each other to influence referrals to their respective agencies (rather than other agencies). Such referrals may not be in the patient's best interests.

U. S. Office of Inspector General warns about some Hospices
U.S. Dept of Justice, OIG Nov 2, 1995




This website will always be in the process of construction, with updates and additions. If you know of interesting articles about hospice, please let us know about them.


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