A friend of our family died few years ago w/o support w pacemaker issue from Medicare and her insurance co.

People have many implanted devices to support their bodily functions. Sometimes, they breakdown and they need to be "replaced" from outside help.

Let me ask you this:
Suppose a person in Hospice program wears diapers daily. When it gets soiled, it has to be "replaced" with a
new one. If you leave it w/o changing, you know what will happen.

This diaper "replacement" can be done by anyone. It is
not a rocket science.But, "replacing" a broken Pacemaker requires hospitalization and an Interventional Cardiologist' work. Medicare must allow
this type of intervention, because it is not a new intervention to cure, but to manage symptoms in the best possible way to enhance comfort to the patient in need. It cannot be done at home by.a group of Hospice staffs in patient' home unfortunately.

Hospice, in the above scenario can be considered as Hospital Hospital and at home, it is Hospice at home.

Hospice is a great program to treat people w multiple chronic incurable conditions and reduce high costs of Healthcare.

That's all.
VJ