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	<title>Comments on: Should We Spend Less on End-of-Life Care?</title>
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	<description>Health Care Policy and Reform Insights &#124; NCPA</description>
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		<title>By: Michael Kirsch, M.D.</title>
		<link>http://healthblog.ncpa.org/should-we-spend-less-on-end-of-life-care/comment-page-1/#comment-46266</link>
		<dc:creator>Michael Kirsch, M.D.</dc:creator>
		<pubDate>Thu, 17 Sep 2009 19:09:12 +0000</pubDate>
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		<description>Regarding you inquiry, &#039;Should we spend less on End-of-Life Care?, it depends upon whose money you&#039;re spending?  If patients and families had some real skin in the game, the end of life path would be quite different.  There would be fewer ventilators and heroics and much more comfort care.  www.MDWhistleblower.blogspot.com</description>
		<content:encoded><![CDATA[<p>Regarding you inquiry, &#8216;Should we spend less on End-of-Life Care?, it depends upon whose money you&#8217;re spending?  If patients and families had some real skin in the game, the end of life path would be quite different.  There would be fewer ventilators and heroics and much more comfort care.  <a href="http://www.MDWhistleblower.blogspot.com" rel="nofollow">http://www.MDWhistleblower.blogspot.com</a></p>
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		<title>By: Neil H.</title>
		<link>http://healthblog.ncpa.org/should-we-spend-less-on-end-of-life-care/comment-page-1/#comment-46262</link>
		<dc:creator>Neil H.</dc:creator>
		<pubDate>Thu, 17 Sep 2009 18:04:38 +0000</pubDate>
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		<description>The answer to your lead question is: yes.</description>
		<content:encoded><![CDATA[<p>The answer to your lead question is: yes.</p>
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		<title>By: Vicki</title>
		<link>http://healthblog.ncpa.org/should-we-spend-less-on-end-of-life-care/comment-page-1/#comment-46243</link>
		<dc:creator>Vicki</dc:creator>
		<pubDate>Thu, 17 Sep 2009 14:05:45 +0000</pubDate>
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		<description>These are very difficult decisions. But they should be made by families, not impersonal bureaucracies.</description>
		<content:encoded><![CDATA[<p>These are very difficult decisions. But they should be made by families, not impersonal bureaucracies.</p>
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		<title>By: John Goodman</title>
		<link>http://healthblog.ncpa.org/should-we-spend-less-on-end-of-life-care/comment-page-1/#comment-46242</link>
		<dc:creator>John Goodman</dc:creator>
		<pubDate>Thu, 17 Sep 2009 13:21:13 +0000</pubDate>
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		<description>Medicare spends about 30% of its budget on patients in the last year of life.</description>
		<content:encoded><![CDATA[<p>Medicare spends about 30% of its budget on patients in the last year of life.</p>
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