I do have sympathy that if I were in my 80s I might choose to die over more years in a care home
BUT
The poor bloody NHS can't get it right can we.
If we are going to let over 80s die then they'll have to have DNAR orders and die in the care homes to avoid hospital beds being overwhelmed and other services therefore cancelled and people dting of cancer and MIs instead. If they are going to die in hospital it won't help capacity issues.
But only last week the Times had a much lauded article about the alleged NHS conspiracy to not treat old people and kill them all off and deny them oxygen. There was general outrage at people over 80 being denied ICU beds. Mumsnet consensus was they should all at least get oxygen and steroids in hospital. Outrageous awful GPS forcing people into DNAR. Quite quite disgusting and barbaric.
So whaddaya want people???
- DNAR the over 80s. Blanket no admission policy. They die in the care homes and we will be able to treat more in their 70s and with other stuff? Send Dr Shipman round with his morphine syringe.
Are people genuinely OK with that level of carnage.? Do you want to volunteer to work in care homes where half the residents are dying all at once for minimum wage and a chance to jump the queue in Tesco?
lockdown to avoid more infections and deaths in all age ranges. Everyone gets the chance of hospital treatment for Covid and perhaps we have a chance of keeping enough staff and beds to treat other stuff too.
- do nothing. 2/52 to a no beds scenario in Manchester. Cancer services halted again just as they were getting back up and running. It really won't just be old people dying.
The NHS last had a year as bad as this for excess mortality 10yrs ago and winter has not even got started.
Even if we don't mind old people dying it does not solve the capacity issue unless we ensure they all conveniently die away from a hospital. Maybe in Nightingales but where will the staff come from for that?
We can go with the Armageddon let it rip strategy if you like but you had all best let us poor beleaguered NHS staff know who you are OK to have die. In case we get it wrong. Like we apparently did last time.