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Has the hospital lost a heart transplant patient due to lack of funds?

The woman in Grand Rapids, Michigan, who needs a heart transplant that was denied because of a lack of funding to support her aftercare, has drawn national attention by publishing a letter of rejection on the social media. The letter that recommended it to make the money needed to pay for post-operative immunosuppressive has since disappeared and many commentators suggest that it is evidence of the obstacles faced by patients through a profit-driven healthcare system.

Hedda Martin suffers from congestive heart failure as a result of chemotherapy she underwent in breast cancer in 2005 Detroit Free Press. A letter sent by a nurse to nurse Martin on November 20, 2018 from the Spectrum Health Network informed Martin that she was averted because the Transplant Committee believed she could not pay for drugs that would prevent the immune system from rejecting the transplanted heart after surgery. The letter suggested that Martin would fund $ 10,000 for this purpose.

In response, her son, Alex Britt, did just that, and in three days he raised nearly three times the sum in the letter through the GoFundMe crowdfunding platform. Britt wrote that his mother was hospitalized twice a month for heart failure: "She rests and hopes [left ventricular assist device] as a bridge to the heart's transplant, "he said," imagine [her] disappointment when she was told that she was denied for financial reasons. "

The story sparked a massive public outrage and caught the attention of a progressive US deputy elected Alexandria Ocasio-Corteze, who tweeted it to nearly 1.4 million followers commenting on the state of the US health care system:

Some readers questioned whether the letter was real, and we found no hint that it was not. Although patient privacy laws prevent Spectrum Health from confirming its veracity, the healthcare provider responded to statements with statements that supported reported versions of events:

Each transplant candidate is ranked by our highly qualified multidisciplinary team of doctors, nurses, social workers, clinical ethics, dieticians and other professionals. Transplantation ability is a complex process. It requires consideration of a number of factors based on established standards of best practices used by transplantation centers throughout the country. Physical health, psychological and social well-being and financial resources are among the factors that are perceived for each patient. The ability to pay for post-transplant care and lifelong immunosuppressive medication is essential to increase the likelihood of successful transplantation and transplant recipients' longevity. We help patients to understand the long-term health effects of transplantation, along with their overall financial commitment, such as the cost of drug transplantation paid to pharmacies of their choice.

Our clinical team has ongoing dialogue with patients on their competence, regular meetings and personally-informed patients to ensure that they fully understand their specific current and future situations. We are constantly improving how we communicate these decisions to our patients in a care and compassionate manner consistent with our approach to extraordinary care.

The Detroit Free Press that in the coming days, the meeting of the Committee for the Transplantation of Spectrum for Healthcare will meet Martin to reconsider Martin's eligibility for his success in raising funds:

Hedda Martin, 60, wrote on a Facebook article that the Heart Transplantation Committee with Spectrum Health Hospital, located in Grand Rapids, could meet [within days] to decide whether she is now eligible for a new heart.

The Committee has previously decided that it is unjustified, referring to its lack of funding to afford it, at $ 4,500 a year deductible in its Medicare plan. Martin's 20-percent drug copay would be about $ 700 a month until he reached this deduction.

Posted 28 November 2018

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