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Obama Returns to End-of-Life Plan That Caused Stir (Medicare Death panels start Jan. 1)
NY Times ^ | 12/25/10 | ROBERT PEAR

Posted on 12/25/2010 7:58:43 PM PST by jimbo123

When a proposal to encourage end-of-life planning touched off a political storm over “death panels,” Democrats dropped it from legislation to overhaul the health care system. But the Obama administration will achieve the same goal by regulation, starting Jan. 1.

Under the new policy, outlined in a Medicare regulation, the government will pay doctors who advise patients on options for end-of-life care, which may include advance directives to forgo aggressive life-sustaining treatment.

Congressional supporters of the new policy, though pleased, have kept quiet. They fear provoking another furor like the one in 2009 when Republicans seized on the idea of end-of-life counseling to argue that the Democrats’ bill would allow the government to cut off care for the critically ill.

(Excerpt) Read more at nytimes.com ...


TOPICS: Constitution/Conservatism; Front Page News; Government; News/Current Events; Politics/Elections
KEYWORDS: berwick; deathpanel; deathpanels; endoflife; healthcare; impeachment; medicare; obama; obamacare; obamalies; regulation; socialism; socializedmedicine
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To: SatinDoll

He’s under no obligation, even as a Catholic, to receive possibly life-extending care that he doesn’t want, or to accept operations for other conditions that may not be life-threatening or even those that are. It is not permitted to hasten his death or do something that will ensure it, but he doesn’t have to go on forever accepting treatment.

I think what concerns people here is that in the future, it’s not going to be you who is making that decision for your father, but instead it will be the government deciding what is best...for the government.

They are going to constantly reduce the care available to people. First it will be for the elderly who have multiple health problems, particularly Alzheimers, and then more and more people will somehow become expendable. And it won’t be voluntary.

Something nobody mentions in this is that such an approach also reduces the impetus to do medical research. Researches are actually working on a gene therapy approach to Alzheimers that not only halts it but reverses it, and results in animal trials have been very promising. But if it becomes the rule just to kill people with certain conditions, why bother with research and cures?


101 posted on 12/26/2010 6:07:43 AM PST by livius
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To: SatinDoll
We are talking Alzheimers disease here, folks; he no longer has responsibility for his own decisions. I make the determinations for his medical care.

Family making decisions informed by competent, caring officials is what we all want. You are in the position of making difficult decisions and doing all the right things.

That is NOT what this thread is about. This is about someone removing that decision making ability from you by government fiat because end of life counseling does not mean the same thing under a health care system faced with rationing by government fiat than it does when you make decisions for your father based on the doctors consultations.

102 posted on 12/26/2010 6:14:45 AM PST by johniegrad
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To: SatinDoll; livius
He said he doesn’t want to be on machines that keep him alive artificially when he would otherwise be dead. This is difficult for me as I’m a Roman Catholic, but these are his wishes and not mine.

The decisions you are having to make are personally difficult but there is no reason to complicate them by worrying that you will do something that is contrary to Church teaching.

As surrogate decision maker, it is licit to deny extraordinary measures that would prolong the life of one who denying from a terminal illness. Now, if you were to withhold food or fluids in order to expedite someone's death that would be something else. Likewise, with giving excessive doses of narcotics to kill them. But, for instance, if your father expressed his desire not to have surgery for a slow growing cancer like prostate cancer knowing that a complication of dementia will kill him first, there is nothing here that the Church would disagree with. This sounds a little more like your situation.

Satin, reading your posts it is clear that you are thinking this through very clear and making virtues based ethics decisions. No one in the Church can find any fault with your approach or decisions. Besides, your Dad has clearly spelled out his wishes on this. Don't make things any more complicated or gutwrenching for yourself than they already are.

103 posted on 12/26/2010 6:29:58 AM PST by johniegrad
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To: jimbo123

I’m glad to discuss my end of life plan with anyone and everyone. Here it is:

At the end of my end on earth, after I die, I will go immediately to be face to face with my Lord and Savior, Jesus the Messiah, and in that place I will live forever for eternity, without time, praising and worship him.

No federal government needed.


104 posted on 12/26/2010 6:31:10 AM PST by savedbygrace (But God.)
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To: skr
Why do taxpayers have to fund conversations that probably already take place without government regulation?

Shame on you. Asking a question you already know the answer to. ;-)

105 posted on 12/26/2010 6:31:41 AM PST by johniegrad
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To: savedbygrace
"I’m glad to discuss my end of life plan with anyone and everyone. Here it is:

...At the end of my end on earth, after I die, I will go immediately to be face to face with my Lord and Savior, Jesus the Messiah......

Hmmmm....government-funded evangelism, this Obama never ceases to amaze.

106 posted on 12/26/2010 6:36:59 AM PST by cookcounty (Why does Obama HATE the Honduran Constitution?)
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To: savedbygrace
"I’m glad to discuss my end of life plan with anyone and everyone. Here it is:

...At the end of my end on earth, after I die, I will go immediately to be face to face with my Lord and Savior, Jesus the Messiah......

Hmmmm....government-funded evangelism, this Obama never ceases to amaze.

107 posted on 12/26/2010 6:37:43 AM PST by cookcounty (Why does Obama HATE the Honduran Constitution?)
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To: jimbo123

PREPARE YOURSELF>

108 posted on 12/26/2010 6:49:52 AM PST by jetson
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To: jimbo123

On Death Panels...

Before we can reasonably discuss death panels, we have to look at medical treatments. Medical treatments fall into one of three categories: (1) Ones that cure (for instance, giving Amoxicillin to a patient with an ear infection< (2) Ones that prolong life (for instance, giving a diuretic to a patient with Congestive Hearth Failure), and (3) Ones that are futile (for instance, performing surgery for prostate cancer on a patient who already has advanced metastatic lung cancer or giving a patient an antibiotic to which the bacteria causing his infection are already resistant).

Nobody is really arguing about those treatments that fall into the third category. Everyone from Hippocrates on down has believed that these are unethical. Every medical intervention carries a potential downside (from something as mild as a drug rash to death) and if it carries no benefit, it’s wrong. Remember, “first do no harm.”

What we as physicians are worried about is the rise of a federal bureaucracy that will begin denying treatments that fall into category 1 or 2 on the basis of cost - something the NHS does in England regularly. This is the sort of bureaucracy that becomes a death panel.


109 posted on 12/26/2010 7:06:19 AM PST by Yet_Again
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To: jimbo123

Back to the phones on Mon, no rest for the weary AKA the average American citizen.


110 posted on 12/26/2010 7:13:28 AM PST by kalee (The offences we give, we write in the dust; Those we take, we engrave in marble. J Huett 1658)
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To: SatinDoll
He said he doesn’t want to be on machines that keep him alive artificially when he would otherwise be dead.

There's nothing unethical about this. CPR and mechanical ventilation are bridges, not really therapies in and of themselves. They buy a patient time. In certainly situations, they can become bridges to nowhere. Take the case of a patient who has suffered a particular kind of stroke and is now in respiratory failure. The options are to let the patient pass now, or to place an endotracheal tube and put the patient on a ventilator. For a maximum of two weeks attempts will be made to wean the patient from the ventilator (because the tube can't be left in for longer than that) after which point the patient will receive a surgical tracheostomy that allows the ventilator to force air through a hole in his neck. Attempts to wean the patient from the ventilator will continue. Eventually he or she may end up with a tube placed in the stomach for long term liquid feeds because they can no longer eat or drink. They will go to a nursing home and lay in bed in this state for weeks, months, or years until some other infection strikes them in their debilitated state and claims their life. Often it won't be a single infection - it'll be a series of infections that causes them to be transferred from a nursing home to the hospital, receive large central IVs, and antibiotics. They will remain in the hospital for a week or two and return to the nursing home. Weeks or months later another infection will set in and the process will repeat itself until one day the infection will be incurable and the patient dies. I would not want this fate for myself or for my loved one. Most people even today make the rational decision to avoid mechanical ventilation and CPR in this scenario without government intervention. The ones who don't are usually out for some sort of secondary gain (ie, they're stealing grandma's social security checks and want her heart beating till the very last possible moment). But this isn't what death panels will address.
111 posted on 12/26/2010 7:18:16 AM PST by Yet_Again
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To: SatinDoll

>>He said he doesn’t want to be on machines that keep him alive artificially when he would otherwise be dead.

This is difficult for me as I’m a Roman Catholic, but these are his wishes and not mine.<<

The Catholic Church does not demand extraordinary measures to keep a person alive.

My Uncle is a Bishop and told us this when my Dad had cancer.


112 posted on 12/26/2010 7:34:02 AM PST by netmilsmom (Happiness is a choice.)
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To: cookcounty

Now that you’ve said that, it occurs to me that this law, or rule, or EO, stands in violation of the First Amendment.

End of life discussions are, by nature, religious.


113 posted on 12/26/2010 7:47:09 AM PST by savedbygrace (But God.)
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To: Yet_Again

Refuse to discuss this with your physician’s office (’my lawyer and my family, etc. have the info’) and make the point that you will be checking the billing to make sure that the enticement of further payments for such is not fulfilled.


114 posted on 12/26/2010 8:43:54 AM PST by bitt ( Charles Krauthammer: "There's desperation, and then there's reptilian desperation, ..")
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To: Aleya2Fairlie

Before the gas, the Nazis killed the “undesirables” in the hospitals and homes.


115 posted on 12/26/2010 9:00:23 AM PST by PghBaldy (Like the Ft Hood Killer, James Earl Ray was just stressed when he killed MLK Jr.)
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To: calex59; All
I have done my own health care directive as did my parents before me. I, for one, do not want to be the next Terri Schaivo. It was not a big deal but I didn't have gov't pushing me into it.

Such planning does help the decision makers when the time comes but gov't doesn't need to get involved.

When a heart stops beating for the last time after a long term illness and you know that individual did not want extraordinary measures taken you know he can finally rest in peace and be with God.

Anyone can do a health directive today.

Should Medicare and doctors be pushing this decision-making onto patients? No. At most patients should be made aware these legal documents are available to them.

In the piece, I cringed at the quote from Dr. Donald M. Berwick, "In economic terms, it is waste," regarding "unwanted" care.

It's clear they want to push the unwashed masses towards forgoing "extraordinary measures" like surgery, a respirator or CPR while they will run off to have their brains operated upon to eek out a few extra months in power like Ted Kennedy. Some animals will be more equal than others.

116 posted on 12/26/2010 9:33:40 AM PST by newzjunkey (Opting for abortion is like hiring a hit man.)
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To: PghBaldy

Just saw the movie ‘Coma’ again. Reminded me of Obamacare!!


117 posted on 12/26/2010 10:29:48 AM PST by AbolishCSEU (Percentage of Income in CS is inversely proportionate to Mother's parenting of children)
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To: ClearCase_guy

I blame the media. They purposefully promote stupid arguments in order to re-direct the conversation. Meanwhile, folks are convinced the government would never overtly ‘kill’ them, never considering the government would simply withhold live saving measures based on age, etc.

Another stupid argument proposed....”we can’t deport 12 million people, it’s impossible”. Media and pro-amnesty politicians purposefully re-direct and won’t touch ‘attrition through enforcement’.

Media is holding these and many other conversations hostage.


118 posted on 12/26/2010 11:32:47 AM PST by Kimberly GG ("Path to Citizenship" Amnesty candidates will NOT get my vote! ~ DeMint, 2012)
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To: bitt

That was always the plan. I seriously don’t think there is much more this Marxist, Muslim, fag, traitor could do to outrage or surprise me. Since I expect he wants to be dictator and destroy America, anything he does short of THAT, will be a surprise.


119 posted on 12/26/2010 12:12:08 PM PST by mojitojoe (In itÂ’s 1600 years of existence, Islam has 2 main accomplishments, psychotic violence and goat curr)
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To: netmilsmom

Thank you, that’s really good to know, particularly as it makes a great deal of sense.


120 posted on 12/26/2010 12:21:15 PM PST by SatinDoll (NO FOREIGN NATIONALS AS OUR PRESIDENT!)
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