Life Planning #1/ Put YourHouse In Order Philip Lisagor, MD, FACS www.TheROYL.com
Where Are We? 10,000 Americans turn 65 every day and this will continue until 2031 This encompasses 78 million Americans born between 1946 and 1964/ aka Baby Boomers Baby Boomers are currently taking care of their parents and often of their children in today’s economy One in 5 Americans have advanced directives, and 1 in 5 of them have it available for 1/25
Where Did We Come From? Egyptians, at least the wealthy, planned for their deaths in advance
Ancient Hebrew PatriarchsSo did the Hebrew Patriarchs: Abraham, Isaac and Jacob
Greek Thoughts Greeks had Hades, abode of the dead Charon, ferryman, for the River Styx Coin placed in mouth of the dead to pay Charon
How Did We Get to Today? Dissolution of extended family Belief in science and medicine Evolving complexities of everything!
How Did I Get Involved? MD 72, University of Chicago Career in surgery/ general, thoracic, cardiac including thoracic oncology That means lung cancer! Long trip to actually talking with patients, their families and loved ones
Why Don’t Doctors Talk toPatients? Not trained Had seminar with Elizabeth Kubler-Ross in Medical School, “Of Death and Dying” 5 steps of Grief Uncomfortable Dealing with failure Dealing with their own mortality Feeling they have nothing to offer Takes time and isn’t included in government or insurance billing codes
Development of ROYL Rest of Your Life planning Toolkit for Doctors Aimed an End of Life Planning Expansion to Stakeholders Expansion to Rest of Your Life planning
Benefits of ROYL Improved quality Improved patient/family/loved ones satisfaction Reduced cost of health care US #1 in cost US #7 in benefits Growth not sustainable (16% GDP currently)
Risks of Failure to do ROYL Decreased quality Decreased satisfaction Increased costs-50 billion/year Someone will do planning for you, loss of patient autonomy Death panels argument Why? Who?
ROYL Legal documents Personalized information sheets Personalized process action check listCultural Change-possible with current economic imperative of the graying of the boomers!