packgrad said:
Friend's grandmother recently died. Had been tested multiple times for Covid as she was in the short rows. She fell and had a brain hemorrhage and ultimately died. Hospital put cause of death as related to Covid. Family fought it to get it removed.
Anecdotal, but wonder how often it happens.
I'll address this. I can't speak to the individual case you speak of obviously.
1. At least where I am, nothing pays a hospital better than a subdural hematoma. I suspect there was no financial reason to label her covid, and there's really no underlying secondary gain issue (hysteria, politics, etc) I'd imagine.
2. I've never in my 20 yr career had a hospital or govt official influence what I listed as COD
3. Death certificates list multiple medical conditions, so including covid is fair
4. If you understand the pathophysiology of covid infections and the myriad systemic alterations that occur, then you would understand why there is difficulty with COD determination and why a patient with covid who dies of stroke, falls, MI, or other cause will also have covid listed. Would that patient have died of that disease at that time if they weren't infected with covid to tip them over the edge? If you know, then I might as well flush 4 yrs of med school, 6yrs of residency, and 20 yrs of practice right down the drain, because I often have no clue unless it's just obvious or fraud.
5. Covid is a losing game for health Care entities/ providers. Whatever uptick in reimbursement they might see in certain cases has been slaughtered by cost of care, length of stay, cancelled procedures, private pay customers, etc.
While I find the political antics maddening and unfounded fairly often, I have a really hard time understanding how inflating covid helps hospitals or providers in the least other than helping their constituents understand why they find themselves always preparing for the worst and hoping for the best while hoping their preparations will be completely unnecessary.