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March 18, 2025 30 mins

What are the key differences between palliative care and hospice care in the UK and the US?

David Holmes discusses the distinctions between palliative and hospice care from the UK and US perspectives. He reflects on his wife Heather's cancer journey and their experience navigating these systems after moving from the UK to the US. Holmes describes how palliative care in the UK considers holistic care from an early stage.

He contrasts this with the US where palliative care often transitions only when curative treatment ends. Hospice care requirements in the US seemed more restrictive, as Holmes found when navigating Heather's final days in a US hospital. He advises listeners on choosing hospice providers, understanding their policies, and making early preparations. 

Key Questions Answered

  1. What is the main focus of this episode featuring David Holmes?

  2. How does David Holmes describe the difference between healthcare systems in the US and the UK?

  3. What are some key statistics mentioned regarding healthcare budgets in the US and the UK?

  4. How does the UK approach palliative care compared to the US?

  5. What was David's experience with the transition to hospice care for Heather in the US?

  6. How did Heather use her professional background in palliative care during her cancer journey?

  7. What were some of the challenges faced when trying to access hospice care in the US healthcare system?

  8. What role did Heather's fight to maintain quality of life play in her decisions regarding her treatment?

  9. How did the family handle the arrangements for Heather's end-of-life care and funeral?

  10. How did David and his children organize the celebration of Heather’s life after her passing?

Timestamped Overview

00:00 UK Health Service Objectives Unveiled

04:09 Evolving Palliative Care Approach

08:41 "Hospice Business Development Concerns"

12:47 Out-of-Network Healthcare Nightmare

15:05 Hospice Care: Important Considerations

18:38 Hospice Care: Support and Challenges

23:26 Unexpected End-of-Life Planning

26:19 Global Event Livestreamed From Houston

28:08 "Family Tribute to Heather"

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