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Quality Of Death - End Of Life Care: Inside Out

From: Inside Out Documentaries
Length: 00:59:00

2009 Winner 1st place Award for Radio from the Association of Health Care Journalists - The type and quality of medical care we receive at the end of life is of profound importance to us all, at a time when the lines between technology and humanity are getting blurred - timely now, as health care reform begins to be implemented. Read the full description.
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Piece Description

National surveys show a majority of Americans would prefer to die at home, but 80% of us die in hospitals or other institutions. In "Quality Of Death - End Of Life Care: Inside Out," correspondent Rachel Gotbaum investigates what prevents many patients from having a dignified death. From well-intentioned but maybe unwarranted medical interventions, to the pressure from family members, to the difficult decisions doctors - who are trained to extend survival - have to make when treating elderly patients, this program delves into the challenges Americans face in planning for proper end-of-life care and a "respectful death."
In this full-hour documentary, Gotbaum follows several patients in their last months, as they confront some of the most difficult decisions of their lives: whether they should pursue aggressive and sometimes painful medical treatments that may extend survival or focus on how to maintain the best quality of life in their final months. Gotbaum reports on how trends in the American healthcare system influence patients' decisions and she talks with family members, who are often pushing for more aggressive treatments.
Apart from the human stories that are central to this program, the financial aspects are also of critical importance as a new administration confronts the spiraling costs of the modern healthcare system and an aging population. One-third of all Medicare spending, or 144 billion dollars, is spent on patients at the end of life.  How can the healthcare budget keep pace with a medical culture in which death is considered failure?
Focusing on a topic that many people are reluctant to hear about, let alone discuss, "Quality Of Death - End Of Life Care: Inside Out" provides information and insight into an issue that all of us will eventually face.

Timing and Cues

RUNDOWN QUALITY OF DEATH—END OF LIFE CARE: INSIDE OUT PGM TIME 59:00 IN MONO

[1] AIR 00:00-09:00 A SEG. [9:00]

IC: MUX; “IN AMERICA, DEATH CAN BE…”
OC: “…I’M RACHEL GOTBAUM.” MUX FADE

[2] break mux fill [1:00]

[3] AIR 10:00-28:00 B SEG. [18:00]

IC: MUX; “WHEN YOU ASK AMERICANS…”
OC: “...I’M RACHEL GOTBAUM.” MUX FADE

[4] break mux fill [1:00]

[5] AIR 29:00-41:30 C SEG. [12:30]

IC: MUX, “THIS IS A SPECIAL REPORT…”
OC: “...I’M RACHEL GOTBAUM.” MUX FADE

[6] break mux fill [1:30]

[7] AIR 43:00-59:00 D SEG. / CREDITS / STING [16:00]

IC: MUX, “THIS IS A SPECIAL REPORT...”
OC: “…WBUR BOSTON.”
STING ENDS COLD @ 59:00

Additional Credits

Written & reported by Rachel Gotbaum
Edited & produced by Anna Bensted & George Hicks
Production assistance by Ibby Caputo
Website production by Jesse Costa

Related Website

http://www.insideout.org/documentaries/qualityofdeath/