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Sunday, December 19, 2010

Grafts Cut, Arizona is disputed by the survivors (nytimes)

Now, Arizona have received transplants is alive and well as a result of them questioned data as legislators is relied on for their controversial benefit reductions.

"They say it's too expensive," says Star Boelter 52, which was paid for by Medicaid stem cell transplant program in Arizona in 2009 after suffering from leukemia. "Well, what is life worth?" They say most people die. In addition, I am living in my transplant.

When the Arizona legislators voted last spring for cutting coverage of transplant financed by the State, they rely on data provided by health report showing that the procedures were rarely successful managers. But experts registry and some patients who have undergone the question now-abandoned State numbers procedures.

For bone marrow transplantation, legislators have been informed that 13 of the 14 patients covered by Medicaid program state who underwent the procedure died within six months. The 14th patient could not be, responsible for State health told the legislature and may therefore dead.

But Kim Marie Urick, a leukemia survivor wants to know that it is capable of mounting three horses outside of Sedona and spend time with her husband and son through a registry of bone marrow that Medicaid program Arizona paid by 4 June 2009, the leaders of the State.

"I was about five days to die", she said in a telephone interview. "I had essentially no immune." If it wasn't for the bone marrow transplant, I wouldn't here right now. »

The rate of healing of bone marrow cited in the report of the Legislative Assembly is zero or 7%, depending on whether unidentified 14th patient experience. But real survival expert transplantation based on national studies, more than 40%.

Dr. Jeffrey r. Schriber, medical blood Director and Banner Good Samaritan Medical Center in Phoenix, hematopoietic stem cell transplant program wrote to Governor Jan Brewer and telling them that their decisions are based on incomplete data given the bad image state legislators. Its data showed the success rate of transplantation of bone marrow covered by Medicaid program from Arizona to slightly above-average national. 20 Operations carried out under the banner in recent years 9 patients survived, he said.

State Representative John Kavanagh, a Republican, and the President of the Commission appropriations House, said that has been present new data, it would be willing to review at least some of the cuts to the Arizona health care cost containment system as Medicaid program is known, when the legislature returns to the session of the month next to combat the crisis of the State budget.

But Ms. Brewer has not recognized as it cuts enacted may have been based on incomplete data. She repeated figure graft 14 13 killed in Arizona to discuss the matter with Greta van Susteren on Fox News last week. "Because Arizona hit with devastating budget deficits, we had to make some difficult decisions," she said, adding later, "We have no other choice."

But Democrats are in disagreement, especially State representative Anna Tovar, who underwent a bone marrow transplant itself a decade previously, but not in the State Medicaid plan. She was among the fiercest critics of transplantation, calling cuts at a special session, this month, to reconsider the decision.

Ms Tovar body rejected the transplantation of bone marrow in 2001 and then underwent a transplantation of stem cells from the next year. "I am living proof that operate these transplants," she says.

Ms. Urick, 53, still remembers when she learned she was considered for transplant that could extend its life. "Be said there is a way you can live is one of the most wonderful things you can never hear" she says. "I cannot imagine what those awaiting transplantation now and cannot afford for cross them."

As for her, Mrs. Urick said, "I expect to live an other 20, 30 or 40 years."

Ms. Boelter, massage therapist, is returning to provide relief to third parties. "My work", she says. "I'm paying taxes, just as I've done most of my life."

Another surviving leukemia, Michael Cheshaek, 27, who had undergone transplantation of bone marrow in 2008 remains on disability, but credit operation with him to live.

"Send us money around the world to help people, and those who suffer at home do not receive assistance that they need, said Mr. Cheshaek, whose operation was covered in its coverage of private insurance, including her mother completed with his retirement plan money."

Bone marrow transplant is not only questionable legislators used to take their decision, say experts transplant data. American Society of surgeons called transplant transplant reductions "Arizona decisions with no medical justification."

Liver transplants for people with hepatitis C, the State also abandoned, have a survival rate exceeding 80% after a year and 60 per cent after five years, transplant group said. Study of Arizona such procedures has been much more pessimistic saying that transplants "does not significantly affect that they are intended to cure diseases."

Lung transplantation, known as transplant society "save, palliative care," study of Arizona, who replied their "more palliative than cure."

James Healy, 25 years old, student at Arizona State University had a bone marrow transplant financed by the State in 2009 and back to school part-time studying applied psychology. "I am well on my way to recovery,", said Mr. Healy, who was suffering from leukemia. "I started the new school, and I get in." I've seen other people pass through it, and I've crossed. We are very alive.

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