Hospice care has a big problem

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Hospice care has a big problem
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A group of prominent physicians who specialize in end of life care think it may be do-over time for hospice, which has lately been plagued with issues. Nightly reports 👇

A terminally ill hospice resident sits with a music therapist in her bed in Lakewood, Colorado. | John Moore/Getty Images— A number of years ago, when I had a fellowship to write about end of life care across the United States, a geriatrician in California told me, “There are no do-overs in death.”

Instances of “poor care,” they said, are “increasingly common.” The signatories include pioneers in the field, including two-thirds of the living former presidents of the American Academy of Hospice and Palliative Medicine, the professional society for these physicians. Some issues the essay cites reflect challenges in U.S. health care across the board — like nursing shortages after the pandemic. Others reflect the changing nature of hospice ownership and the Medicare payment system. The authors want the statement to be a roadmap as physicians negotiate with employers so they can provide consistently good care.

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