Posted on 08/09/2009 10:35:59 AM PDT by Jeff Head
I have had many questions and comments regarding the PDF file of the House Democrat Health Care plan I made available for download on my site, HERE.
Most are, as am I, appalled at the plan and the wording of it...particularly when taken in context with the cited quote and views of the chief architect of the plan, and chief advisor to Obama on Health Care and Policy advisor to the Democratic Congress on HEalth Care, Dr. Ezekiel Emanuel, HERE.
Some however attempt to rationalize, or even make statements regarding the plan that just are not there, are not supported (at least IMHO) by fact, and certainly are at odds with the views openly stated by the chief advisor who has helped craft the plan.
This is particularly true when it comes to the end-of-life counseling portion of the plan identified pn page 425 of the plan where it amends the Medicare laws and thus applies to seniors over the age of 65.
So, I thought I would post the wording of that section, directly from the plan, but formatted so yuou can follow it. People need to make up their own minds.
The way I read it, the section makes the sessions required, it brings government bureaucrocy into life planning where the individual, the Dr. and family should make the sole decisions, and it open up the possibility for government health orders regarding the end-of-lie treatment of the elderly.
Far, far too much government involvement and power, particularly given the clear eugenics and infanticide reasoning of the auther.
Here it is. You decide.
‘‘Advance Care Planning Consultation
‘‘(hhh)(1) Subject to paragraphs (3) and (4), the term ‘advance care planning consultation’ means a consultation between the individual and a practitioner described in paragraph (2) regarding advance care planning, if, subject to paragraph (3), the individual involved has not had such a consultation within the last 5 years. Such consultation shall include the following:
-----‘‘(A) An explanation by the practitioner of advance care planning, including key questions and considerations, important steps, and suggested peo1ple to talk to.
-----‘‘(B) An explanation by the practitioner of advance directives, including living wills and durable powers of attorney, and their uses.
-----‘‘(C) An explanation by the practitioner of the role and responsibilities of a health care proxy.
-----‘‘(D) The provision by the practitioner of a list of national and State-specific resources to assist consumers and their families with advance care planning, including the national toll-free hotline, the advance care planning clearinghouses, and State legal service organizations (including those funded through the Older Americans Act of 1965).
-----‘‘(E) An explanation by the practitioner of the continuum of end-of-life services and supports available, including palliative care and hospice, and benefits for such services and supports that are available under this title.
-----‘‘(F)(i) Subject to clause (ii), an explanation of orders regarding life sustaining treatment or similar orders, which shall include—
----------‘‘(I) the reasons why the development of such an order is beneficial to the individual and the individual’s family and the reasons why such an order should be updated periodically as the health of the individual changes;
----------‘‘(II) the information needed for an individual or legal surrogate to make informed deci-sions regarding the completion of such an order; and
----------‘‘(III) the identification of resources that an individual may use to determine the requirements of the State in which such individual resides so that the treatment wishes of that individual will be carried out if the individual is unable to communicate those wishes, including requirements regarding the designation of a surrogate decisionmaker (also known as a health care proxy).
--------‘‘(ii) The Secretary shall limit the requirement for explanations under clause (i) to consultations furnished in a State—
----------‘‘(I) in which all legal barriers have been addressed for enabling orders for life sustaining treatment to constitute a set of medical orders respected across all care settings; and
----------‘‘(II) that has in effect a program for orders for life sustaining treatment described in clause (iii).
--------‘‘(iii) A program for orders for life sustaining treatment for a States described in this clause is a program that—
----------‘‘(I) ensures such orders are standardized and uniquely identifiable throughout the State;
----------‘‘(II) distributes or makes accessible such orders to physicians and other health professionals that (acting within the scope of the professional’s authority under State law) may sign orders for life sustaining treatment;
----------‘‘(III) provides training for health care professionals across the continuum of care about the goals and use of orders for life sustaining treatment; and
----------‘‘(IV) is guided by a coalition of stakeholders includes representatives from emergenc medical services, emergency department physicians or nurses, state long-term care association, state medical association, state surveyors, agency responsible for senior services, state department of health, state hospital association, home health association, state bar association, and state hospice association.
‘‘(2) A practitioner described in this paragraph is—
‘‘(A) a physician (as defined in subsection (r)(1)); and ‘‘(B) a nurse practitioner or physician’s assist1ant who has the authority under State law to sign orders for life sustaining treatments.
‘‘(3)(A) An initial preventive physical examination under subsection (WW), including any related discussion during such examination, shall not be considered an advance care planning consultation for purposes of applying the 5-year limitation under paragraph (1).
‘‘(B) An advance care planning consultation with respect to an individual may be conducted more frequently than provided under paragraph (1) if there is a significant change in the health condition of the individual, including diagnosis of a chronic, progressive, life-limiting disease, life-threatening or terminal diagnosis or life-threatening injury, or upon admission to a skilled nursing facility, a long-term care facility (as defined by the Secretary), or a hospice program.
‘‘(4) A consultation under this subsection may include the formulation of an order regarding life sustaining treatment or a similar order.
‘‘(5)(A) For purposes of this section, the term ‘order regarding life sustaining treatment’ means, with respect to an individual, an actionable medical order relating to the treatment of that individual
I see nothing in this wording that makes these "sessions" elective and voluntary.
This is what many of us warned would happen when the government murdered Teri Schiavo. It didn’t take long did it?
How soon we forget. Exactly what government is hoping for, very short memories in the herd.
$$$$$$$$$ for the lawyers!
Indeed! Money that is needed for “health care” may now be spent on lawyers to rescue one from the end of life choice that you didn’t want, but was made for you.
Social Security was originally set up that way, where most people died before they got old enough to collect.
I’m in my mid-fifties and have cancer. Trust me, medical providers need no government directive to raise end of life issues with patients. The only reason to include this provision in a health care bill is to introduce government control over the direction that those service must go.
It’s to prep us to go out quietly, before our care costs too much money.
It is time for everyone to buy a copy of Orwell’s 1984 and to read it closely again.
Government, especially the Democrat’s favorite programs, have become VERY Orwellian in the way they are presented nowadays.
Yes, that is on my list and I am going to bump it up. thanks
State surveyors ???
Demographics and zip codes are used in the bill.
This may code for ACORN or SEIU deciding which zip codes need culling.
You are welcome...please spread the word to all you know:
Dr. Ezekiel Emanuel and the Obama Care Final Solution
http://www.jeffhead.com/finalsolution.htm
The Democratic Health Care Plan (Obama Care) by the Numbers
http://www.jeffhead.com/DemHealthCare.htm
My Letter to the Whitehouse and President Obama regarding Free Speech
http://www.jeffhead.com/freespeech.htm
The Storm Unleashed upon America
http://www.youtube.com/watch?v=NNhu-SuZes0
Don’t underestimate the will of the American People
http://www.youtube.com/watch?v=bkFFwyyjZC8
Petition Drive for Constitutional Restoration
http://www.facebook.com/group.php?gid=110770273356
This entire thing...the entire plan...has language and provision to make ACORN just that much stronger. ACORN will end up being the Gestapo of Obama’s vision for Maerica. They will ultimately comprise, IMHO, the “internal security” force he spoke of during the campaign.
Has anyone mentioned this yet...?
The plan is to enact euthanasia for the elderly immediately after implementing a 95% inheritance tax. This way, Hussein “offs” the old people and grabs their dough in a month.
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