– We are almost regular alarmed by dramatic reports of a financial collapse in the wellness system. The problem is not new, it has been increasing for years, but the decisions of the current head of the ministry have accelerated the phenomenon of financial collapse of the system. As far as we know, the National wellness Fund in any places does not pay hospitals for the treatments that were already done, which were included in planned expenditures. Hospitals so restrict the admission of patients, limit even these already planned treatments – says in the latest episode of the program “In Haste” on PCh24 tv Jan Pospojalski.
The publicist points out that in the thicket of information about the deficiency of “all without publicity” in the NFZ, guidelines were published on alleged futile therapy. – Does this futile therapy mean the same thing as persistent therapy? This is the first case. What could this gotta do with the dramatic financial situation of the wellness strategy in Poland? – asks.
The host of the “In Haste” program reminds us that John Paul II in the encyclical “Evangelium Vitae” clearly distinguishes the proeutanasia from what we call persistent therapy. "Resignation of emergency and exaggeration measures is not tantamount to suicide or euthanasia, alternatively expresses acceptance of human condition in the face of death," wrote the Pope.
– John Paul II emphasized the dignity of man and emphasized the dignity of the patient in the situation of this terminal, this border. I remind you of this, due to the fact that the working group that prepared guidelines for futile therapy besides included representatives of the Polish Church, representatives of the Bioethical Commission at the Polish Episcopal. And this working group was based on the 2008 definition of persistent therapy. Therefore, here is the constant mixing of these concepts – says the journalist, then quotes what the said working group is writing about futile therapy.
"Dream therapy is the usage of medical procedures to keep the vital functions of an incurable patient who prolongs (6:55) his dying involving excessive suffering or violating the dignity of the patient," says the document.
– The definition quoted by me as alive is the definition of persistent therapy – emphasizes Posajalski and adds that he asked 1 of the doctors about the terminology confusion. – He told me, Janek, you choice on me. It is about adapting this naming to terms, to concepts utilized in Western European countries." This has only frightened me due to the fact that I know what is happening in any Western countries, especially Belgium, where the full wellness care strategy is pro-eutanalysed – notes.
Then, Posamalski returns to the ‘basic question’: is the change in the date utilized so far not accidental and the fresh guidelines are intended to extend the scope of cases where it is possible or even recommended not to implement or increase the strength of the therapy, or is it possible to depart from life support? In his opinion, the answer to this question is set out in the guidelines themselves in a point describing how to implement them in practice.
– The authors themselves point out that, ATTENTION, selective and effective screening of patients towards palliative care is needed erstwhile they are admitted to hospital. The fresh guidelines supply guidance on who to pay peculiar attention to in this situation. And note, these are people whose life expectancy is little than 12 months. How can it be estimated that he has little than 12 months of endurance at the time of admission to hospital? This is ridiculous! – the sound of the publicist.
– Second thing. There is advanced heart failure, active disseminated cancer, chronic lung illness during home oxygen therapy, advanced dementia, and another chronic diseases with a short predictive endurance time. Another group of people to whom attention should be paid are those who have been hospitalised more than erstwhile due to the exacerbation of advanced chronic illness in the last 12 months. Which is what? Then you can't accept them, can you? This is where things truly start to look truly bad. It's alarming.
In addition, the assessment of Posamalski should pay attention to people who require constant care of others. – After all, there are many people with disabilities who require constant care of others. Which is what? Are we giving up treatment? Do we consider that all next 1 devoted to spending or treating these patients is futile therapy? Something doesn't add up. – adds.
In order to do so, the code of ethics has been amended in parallel with the announcement of fresh guidelines. – And here, of course, the fresh changes required by the advancement of technology – noted the publicist. What's the change? There is, for example, an full paragraph on the usage of artificial intelligence in diagnostics and the media focused primarily on this. another changes are much more crucial in Posamalski's assessment.
This includes Article 33 of the fresh revised code, point 3: "The doctor must not be treated in vain. The decision to consider a treatment as futile is part of the treatment syndrome and should take into account the patient’s will as far as possible.”
Summing up, Projektalski points out 3 issues.
"First of all, no of those people who care so much present about how to prepare these guidelines have protested what Minister Leschina, Minister Bodnar and Prime Minister Tusk did about abortion guidelines, where only a shrink's communicative can entitle a female to have a healthy kid abortion while being in full physical health.
The second thing: in the case of all covid abuses we have seen doctors act unethically. If present specified a doctor reads in this section 33 of the Code of Medical Ethics that he is not allowed to usage futile therapy, and that he can be regarded as futile therapy as hospitalizing a individual twice in a given year, or there are inactive vague deadlines, terminal illness, chronic illness, then these guidelines, alternatively of introducing a certain order, introduce confusion.
And the 3rd thing: Looking at the collapse of the wellness system, the financial collapse and the fact that in the eighth decade of life comes the generation of postwar boom... At that time, 800,000 people were born. For comparison, in 2024, if this continues, 256 1000 people will be born in Poland. due to the fact that if our very many generations present enter into the eighth decade of their lives, over 70 and so on, they will require more and more hospitalisation, they will increasingly require wellness care. Therefore, possibly these guidelines are responding to the rescue of the already disastrous state of the National wellness Fund budget."
Source: PCh24 TV
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