Medicare Is A Problem Based Model

Everyone understands and beautifies the beginning of life and birth, but what comes at the end of this humane cycle is typically avoided and delayed. Hospitals and doctors are there to treat people with a multitude of services that they offer. Every person seeking emergency medical attention has a right to service regardless of their ability to pay, and Congress enacted a bill to ensure that, the Emergency Medical Treatment and Labor Act (EMTALA) (CMS, 2012). For many individuals and families there are programs like Medicaid and Medicare that help to cover the costs for health coverage. Most of the people that receive this kind of support are eligible due to their income or other type of services they are receiving. Medicare is an insurance

In the video with Ira Byock, MD, he explains the problems arising with the medical model. As I mentioned before that people are pushing off the topic of death and just choosing not to entertain the subject, the medical model is doing the same thing. Doctor Ira Byock explains how the medical model is a problem based model, “if you don’t have a problem you don’t get seen” (Byock, 2011). People go to the hospital because of a problem, but once that problem is acknowledged or dealt with, the patient is unlikely to see a doctor again. Byock feels as if the medical model is failing because medical professionals are “ill equipped” as Byock said, to help with the end of life, but can help up until that point. The goals of the medical model are to cure, restore function, and prolong life even if that does not include a cure for the problem at hand. The prolonging of life also brings other issues into light. By prolonging life, you could also be prolonging death. The issue with this is that some people may not wanting this to occur. In the “Cost of Dying” video, Steve Kroft reports that “a vast majority of people want to die at home, 75% of people die in a hospital or nursing home”

In the video, Byock even says while talking about a figurative example for the problem at hand, “she doesn’t have any medical problems she’s just dying”. Byock acknowledges the issue and calls upon it saying that in order for a change to occur, the medical model needs to progress from a problem-based model into a human development model (2011). There are so many things to be said about birth and the life process up until the end where people choose to not speak about what is happening or going to happen in the future at that point. A human development model could help with the process of dying but letting people know about the options for what is available when the time comes, but also to be prepared for the situation. People that are dying need assistance in what to do when death is near and medical professionals need to be able to provide assistance with this and not abandon the issue. The medical model needs to become more of a human development model and extend farther than only providing assistance to those with a “problem” and stopping whenever they are nearing death. Hospice differs from the medical model because hospice is a place to care for people specifically those who are close to