NY Times #4
People dying from chronic diseases like cancer have been getting more aggressive medical care in NY than in the rest of the country for years. 46 percent of chronically ill patients in Manhattan were being treated in hospitals when they died, instead of dying in hospices or nursing home; the highest in the country. Long Island/Queens are second, Bronx is third, and Brunswick, NJ is fourth. Nationally, the rate is 28 percent.
The disparity may be driven by financial incentives for keeping patients in hospitals while possibly neglecting the patient's wishes. Medicare generally paid better for hospital care than for community-based medical services.
If someone doesnt have a home, it is hard to send them home, therefore extending their stay. Statistically, Black and Hispanic patients are more likely to prefer dying in the hospital than Hospice care. Hospice care is increasing in NY and across the country. It focuses on quality of life, rather than curing the disease.
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