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End of life center zeroed out of budget

By Suzanne Higgins

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January 29, 2010 · The West Virginia Center for End of Life Care will expire July 1 if operating funds are not restored to the state budget.

The line item of $250,000 is eliminated from a DHHR  budget request of approximately $780 million for FY2011. 

 

The Center for End of Life Care  is an educational resource for citizens and the medical community. Last year it provided information and advanced directive forms to more than 50,000 West Virginians so end-of-life treatment wishes are documented and respected.

 

“I was flabbergasted,” said Bruce Foster, M.D., a family practice physician in South Charleston.

 

“Most people do not want to be kept on machines when they know they are going to die, they want to be at home and kept as pain-free as possible,” he said.

 

“There’s so much discussion about health care costs right now. The majority of costs come at the end of life, and the WV Center for End of Life has done so much to get people to think about what they want and get their advanced directives,” he said.

 

“This makes no sense at all to me.”

  

The Center for End of Life Care provides educational programs to the public, medical providers, medical students, hospitals, nursing homes and hospices throughout the state.

 

It oversees the WV Palliative Care Network, which is a group of hospitals that have implemented end-of-life care units.

 

The Center also maintains an information distribution program, a toll-free number for information, and a website. There you can download advanced directive forms including the WV Living Will form, the medical power of attorney form, and the do-not- resuscitate card.

 

“Just a preliminary estimate suggests at a minimum when West Virginians’ end-of-life wishes are known it saves the state at least $6 million a year,” said Alvin Moss, M.D., project director of the center.

 

“Funding for the Center for End of Life Care is only $250,000 a year.  And so now the entire program that makes this possible has been eliminated,” said Moss. “So it’s a little hard to understand why that would be.”

 

Secretary of Health and Human Resources Patsy Hardy declined an interview request through her spokesperson who said she would explain the elimination of the program to the House Finance Committee in a budget hearing Monday.

 

“I do believe if West Virginians that have benefited from this program would speak up the legislature would be able to find the money to continue our center,” said Moss.

 

Moss said through the work of the center, West Virginia leads the nation in the percentage of population that has completed advanced directives.

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