April 2009
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HRT QUESTIONS: I HAVE READ A DOCTOR’S COMMENT THAT AN IMPORTANT REASON FOR PRESCRIBING HRT IS TO HELP REDUCE THE AMOUNT OF MONEY SPENT ON THE CARE OF ELDERLY WOMEN. DO YOU AGREE?

April 21, 2009

There is no doubt that care of elderly women is a significant part of health care spending. But what is often neglected in these financial analyses is the enormous amounts of money these same women save the health care system by looking after sick and dying husbands or other family members at home, often for many years.

Such comments also imply that long-term HRT will necessarily result in a fitter, healthier group of older women. We don’t yet have the evidence to say this with certainty. It may be that widespread use of HRT will result in women living longer and with fewer fractures and heart attacks. However, nothing is more certain than that we must all die, and if the cause of death is not heart disease or complications from fractures, it could well be a disease that might cost the community even more, such as dementia or cancer.

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