Death By Managed Care—Denial of Hospitalization for Headache

Authors

  • William B. Young MD

    Corresponding author
    1. From the Jefferson Headache Center, Thomas Jefferson University, Philadelphia, Penn.
      Address all correspondence to Dr. William B. Young, Jefferson Headache Center, Thomas Jefferson University, Gibbon Building, Suite 8130, 111 South 11th Street, Philadelphia, PA 19107.
    Search for more papers by this author

Address all correspondence to Dr. William B. Young, Jefferson Headache Center, Thomas Jefferson University, Gibbon Building, Suite 8130, 111 South 11th Street, Philadelphia, PA 19107.

Abstract

A 47-year-old man with a severe headache disorder, taking meperidine injections 8 to 12 times a day and approximately 6 butalbital-containing tablets per day, was denied hospitalization for the management of headache and died while awaiting evaluation for detoxification by a psychiatric facility. The criteria for hospitalization and the implications of the denial of care by insurance companies are explored. The biases against the publication of such cases are reviewed.

Ancillary