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August 19, 2009 -- 5:45pm PDT

FALSE: Stents Denied to Patients Over 59
Stents in the United KingdomA false meme has been circulating that the British National Health Service (NHS) denies stents to patients older than 59...and that Obama's health care reform will follow the NHS guidelines. I first read this ridiculous assertion in a posting on Angioplasty.Org's popular Patient Forum a few days ago. A worried patient had read an article by "an American ophthamologist" and wanted more information. I did a little research and found the article, titled "Obamacare and Me". It appeared in "The American Thinker", a web site that those on the left have characterized it as "one of those hard-edged, right-wing web sites that specializes in flinging filth." In the piece, Atlanta-based author/eye doc Zane F. Pollard stated:

For those of you who are over 65, this bill in its present form might be lethal for you. People in England over 59 cannot receive stents for their coronary arteries. The government wants to mimic the British plan.

Totally wrong! This lie has been circulated worldwide in an anonymous email and somehow has found its way into articles, such as the one mentioned, op-ed pieces, etc. and is clearly part of an organized campaign to scare elderly citizens into opposing health care reform. I am not going to get into the pros and cons of the overall plan here, but I do feel the need to publicize true facts over false rumors regarding stents and angioplasty..

The British National Health Service does not deny stents to patients over 59. This is an absurd claim, since it is specifically patients over 59 who are the prime beneficiaries of angioplasty, stents and interventional procedures.

My sources are Dr. Peter Weissberg, medical director of the British Heart Foundation, as quoted in The Guardian, which states about the claim:

Totally untrue. Growing numbers of patients over 65 with heart conditions are having surgery, including valve repairs and heart bypass surgery, says Professor Peter Weissberg, the British Heart Foundation's (BHF) medical director. For example, the average age at which people have a bypass operation has risen from 58 in 1991 to 66 in 2008.

Also responding to this assertion was British Health Secretary Andy Burnham, who stated in an email to Dr. Hisham Rana's medical blog:

The Department of Health can confirm that this statement is not true. Access to treatment should be offered on the basis of clinical need. You may be interested to know that a national audit report on cardiac surgery, which has just been published shows that, in the United Kingdom, 20% of all cardiac surgery patients are over 75 years old.

Stents and heart bypass surgery are fully available in the England, as they are and would continue to be in the U.S. It's possible that somehow, somewhere, someone picked up on a possible two-year-old hypothetical recommendation by the British National Institute for Health and Clinical Excellence (NICE) that drug-eluting stents might not be cost-effective. (We covered that topic in detail here -- and that recommendation was never adopted!)

However, if you really want to discuss denial of health services, go to our Forum Topic titled, Financial Assistance for Plavix. Here you will read many stories from patients in the U.S. who received drug-eluting stents (most of them were insured for the procedure) but who were then denied reimbursement by their insurance companies for the recommended one-year-to-life prescription drug therapy of clopidogrel (Plavix) -- which is almost $1,500 annually. Many have stopped taking the drug because they cannot afford it. It is well-documented that premature cessation of antiplatelet therapy results in increased heart attacks and mortality.

This is the true current status quo and to paraphrase the ophthamologist, "this situation in its present form might be lethal for you."

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