Ira Byock

speaker
629 appearances 3 recordings 1 series first heard Jun 2019 last heard Jul 2025

Ira Byock’s voice in public audio — every appearance, attributed to the second.

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Why is it embarrassing when our patients get better under our care?
Something is wrong in that scenario.
Uh just to just to support the four-profits.
Uh again, in the long arc of things, I saw in 1996-97 when the uh uh Office uh OIG's Operation Restore Trust came out, that under the direction of NHO, frankly, the nonprofits retreated from caring for people in nursing homes, including dementia care patients.
And the four and and they basically abandoned the.
And some of us were outraged and yelling at the time.
And I personally was sent to the desert.
You know, I would became the Vox Lamentis in Deserta for basically a decade for complaining about this.
The for-profits stepped up and they they have been serving people in nursing homes, including with dementia, who deserve our care.
And the nonprofits hadn't.
And so, you know, when somebody gets better under hospice care in a nursing home,
Is that a good thing or a bad thing?
matter?
I I just think i we oughta help them succeed in increasing their margins as long as we have as a field put parameters in place so we can assess that they are providing good care.
So uh in May there will be a special report in the Journal of Palliative Medicine called Uh Core Roles and Responsibilities of Physicians in Hospice Care, a statement by and for U.S.
Hospice and Palliative Medicine physicians.
And it is really just a statement by us to us to help, first of all, uh our colleagues who are working for or looking to work for.
For hospice programs to be able to know what their roles and responsibilities are.
This is not even best practices, this is min specs drawn from the hospice medical director manual and our conditions of participation, Medicare for Physicians and participation.
That's all.
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