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August
19,
2009 -- 5:45pm PDT
FALSE: Stents Denied to Patients Over 59
A
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.
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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.
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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.
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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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