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Correspondence
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Volume 338:767 March 12, 1998 Number 11
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Health Insurance and Palliative Care

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To the Editor: I recently admitted two patients to the hospital for palliative care. Reimbursement was rejected by the insurance company for the care of one patient and is under review for the second patient. The outcome was unexpected in that both patients survived, and since I did not "do anything," acute hospitalization was deemed unwarranted.

Both patients were admitted with the expectation that death was imminent. One was 90 years old, with severe dementia, a systolic blood pressure of 60 mm Hg, and a temperature of 88°F. The second patient was in cardiogenic shock with a systolic blood pressure . . . [Full Text of this Article]


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