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A health care policy that puts the ending first

Joanne Kenen

September 12, 2018 |

Politico |

Text |

1500-3000 Words

Response Location: United States, Torrance, California

The Medicare system is struggling with rising costs and a rapidly aging population, but one solution to the issue might be to encourage people to lay out end-of-life plans and wishes before a health crisis. The Providence St. Joseph health care system is piloting an effort to do just that, working through the barriers to end-of-life planning with financial incentives, comprehensive data, and targeted efforts to make advanced directives, also known as living wills, more common. So far, the initiative has seen "slightly more than 13 percent [of patients] complete [and record] an advance directive."

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Dementia program in Peel 'should spread like wildfire'

Moira Welsh

June 20, 2018 |

Toronto Star |

Multi-Media |

Over 3000 Words

Response Location: Canada, Peel, Ontario

Dementia units and long-term care homes for the elderly are often desolate and lonely places, with harried workers attempting to meet the needs of their patients while also meeting government-set metrics of success. For families and individuals, it can be difficult to imagine a better way. However, a pilot program in Canada called the Butterfly room is showing that dedicated efforts to making long-term care homes a vibrant and loving place for someone's last days has positive impacts for everyone - and is worth a government investment do right across the country.

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He stole a $1 lemonade, smoked pot - then nearly had to die in prison

Samantha Melamed

September 27, 2017 |

The Philadelphia Inquirer (Philadelphia Media Network) |

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800-1500 Words

Response Location: United States, Philadelphia, Pennsylvania

Pennsylvania has a compassionate release law for inmates who are terminally ill so they don't die in prison, but in practice it has become even more difficult for inmates and their families to take advantage of it. The number of elderly prisoners in the state has soared. Advocates recommend prisoners get an automatic compassionate release when they receive a terminal diagnosis so the family is not burdened with trying to figure out the complex process and paperwork.

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Four Terminally Ill Patients Walk Into A Bar…

Priti Salian

May 10, 2017 |

Bright Magazine |

Text |

800-1500 Words

Response Location: India

To remove stigmas around discussing death and end of life care, four terminally ill people have been delivering stand up comedy routines about their situations. Through humor, the Laughing At Death foundation hopes Indians will be more accepting of palliative care and able to talk to family members about their wishes regarding the end of their lives.

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A transformative practice in Mongolia is helping people die with grace and dignity

Andrew North

April 06, 2017 |

Quartz |

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Over 3000 Words

Response Location: Mongolia, Ulaanbaatar

Mongolia, under the influence of Dr. Odontuya Davaasuren, has become very advanced in its palliative care. Patients are given full information about their diagnosis, are provided with the proper pain medications, families are involved and guided and spiritual considerations are included creating a better system of care.

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Home Remedy

Anna Gorman

March 19, 2017 |

Washington Monthly |

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Over 3000 Words

Response Location: United States, San Diego, California

End of life planning is a thorny issue, but a pre-hospice program in San Diego is working to address the tough conversations and place seniors in care for their final years. They found that by bringing care to patients in their homes, they save patients’ emergency hospital visits and save the system money. Medicare and insurance don't usually pay for in-home palliative care, but companies that work with the Affordable Care Act are using creative financing to offer quality care without added expense.

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Mobile Team Offers Comfort Care To Homeless At Life's End

JoNel Aleccia

January 12, 2017 |

Kaiser Health News |

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800-1500 Words

Response Location: United States, Seattle, Washington

People who are homeless and have a terminal illness usually end up in the emergency room which is more expensive and less effective. The UW Medicine’s Harboview Medical Center is the first U.S. program that sends mobile teams to provide palliative care, comfort care, to homeless people facing terminal illness.

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Palliative care: Dealing with the end

Priti Salian

October 08, 2016 |

Livemint |

Text |

1500-3000 Words

Response Location: India, Bengaluru, Karnataka

A stand-alone hospice in the city of Bengaluru is the sole provider of end-of-life care for the terminally ill in the region. Having helped nearly 11,000 patients and trained nursing aids during a six-month course to provide both in-house an at-home care, the palliative care model is filling the gap between diagnosis and outcome.

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In India, Dispensers of Balm Travel to Death's Door

Ankita Rao

January 12, 2016 |

The New York Times |

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Under 800 Words

Response Location: India, Kerala

The palliative care system in Kerala, India, has been singled out as a beacon of hope in offering the possibility of a dignified death to everyone by safely providing morphine.

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How Uganda Came To Earn High Marks For Quality Of Death

Rae Ellen Bichell

January 03, 2016 |

NPR |

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800-1500 Words

Response Location: Uganda, Kampala, Central Region

Uganda has the best quality of death among low-income countries, according to the Economic Intelligence Unit. Its success stems in part from the strictly regulated but available supply of morphine, which is distributed by pharmacists in labeled bottles.

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