Department of Neurology, Norman Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, USA.
J Parkinsons Dis. 2024;14(2):221-226. doi: 10.3233/JPD-240046.
Persons with Parkinson's disease (PD) and society at large can profit from a strategic investment into a forward leaning, practical, preventative, and proactive multidisciplinary care policy. The American healthcare system is not easily bent to accommodate this type of care, and thus a tax benefit is an attractive option. An individual federal income tax benefit of $6200 each year for every person residing in the US with a diagnosis of PD, could among other offerings provide monthly access to a licensed clinical social worker and access to mental health services. The implementation of more coordinated care has the potential reduce the burden of depression, anxiety, and demoralization. Personal training would also be covered and directed by physical and occupational therapists. The combination of home-based and telemedicine services would have the added benefit of improving access. The tax benefit would also provide access to a dietician. This type of care strategy could be designed to proactively identify early signs of aspiration and urinary tract infections to 'head off' significant morbidity. A $6200/year individual tax benefit for those diagnosed with PD will thus translate into more fall prevention, more care in the home setting, less hospitalizations, less depression, less anxiety, less demoralization, better diets, and less persons placed in nursing facilities. Additionally, this tax benefit will provide the potential for billions of dollars in savings to the healthcare system. A tax benefit for PD is a practical preventative and proactive strategy which can serve to advantage both this generation and the next.
帕金森病患者(PD)和整个社会都可以从积极、实用、预防和主动的多学科护理政策中受益。美国的医疗保健系统不容易适应这种类型的护理,因此税收优惠是一个有吸引力的选择。对于居住在美国的每一位被诊断患有 PD 的人,每年提供 6200 美元的个人联邦所得税减免,除了其他福利外,还可以每月获得持牌临床社会工作者的帮助和心理健康服务。实施更协调的护理有可能减轻抑郁、焦虑和士气低落的负担。个人培训也将由物理治疗师和职业治疗师负责和指导。家庭医疗和远程医疗服务的结合将具有改善服务可及性的额外好处。税收优惠还将提供营养师的服务。这种护理策略可以设计为主动识别吸入和尿路感染的早期迹象,以“避免”严重的发病率。因此,对于被诊断患有 PD 的人来说,每年 6200 美元的个人税收减免将转化为更多的跌倒预防、更多的家庭护理、更少的住院治疗、更少的抑郁、更少的焦虑、更少的士气低落、更好的饮食和更少的人被安置在护理设施中。此外,这项税收优惠将为医疗保健系统节省数十亿美元。PD 的税收优惠是一种实用的预防和主动策略,可以使这一代人及其后代受益。