Nevertheless, efforts to lengthen life or to comfort are not necessarily mutually exclusive. Many patients who receive palliative care feel better and live longer than expected.
The boundary between "cure" and "care" is cultivated by eligibility rules for hospice benefits established by the federal government and private insurers to limit expenditures for palliative care. Confining palliative care to those who are expected to live no longer than six months creates pointless misery for many patients. It also unjustifiably weighs down clinicians who, in several circumstances, cannot precisely and truthfully calculate whether a seriously ill patient will live three months, six months, a year, two years, or even longer. This rigid division between cure and care likewise discourages suffering patients from requesting palliative care.
Based on the model definition of the Canadian Palliative Care Association, the term palliative care has been characterised as "a philosophy of care and combination of therapies intended to suppo ...Show more