It's Not Just Conservatives With A Problem With End of Life Provision

Discussion in 'Healthcare/Insurance/Govt Healthcare' started by Annie, Aug 8, 2009.

  1. Annie
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    Annie Diamond Member

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    If your first instinct is to think, this reporter must be from the 'right', check out his other columns:

    washingtonpost.com

     
  2. Emma
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    Emma Evil Liberal Leftist™

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    Health care providers establish a plan of care for every patient they encounter, regardless of age or condition or health status. These care plans must include informed decisions from the patient (or their representative) as to what the goals of treatment are to be. It's kinda hard to obtain informed input from people who are not, well, informed.

    Some people fail to understand that advance care planning doesn't necessarily equate to making a person a DNR. An advance directive can also instruct providers to perform life-sustaining measures, or specific treatments and procedures (such as tube feedings, for example). It doesn't even have to include a 'living will' portion at all. That's why it's called a directive.

    Many also fail to understand that advance directives are NOT written in stone. They can be revised or even reversed at any time (as can DNR orders resulting from these directives).

    An advance directive that does include a 'living will' is not a DNR order. That is a specific order from a physician that must be written, regardless of the presence of a living will. Again, that is why it is called a directive. Without such a directive, the default is that we do everything. This simply guides your physicians as to what your wishes are for end-of-life care.

    I see absolutely nothing wrong with compensating a physician for providing the counseling regarding advance care planning. Advance care planning is FAR more than just executing an advance directive, and can be an involved process.

    My question to you (and the author) is why do you feel a physician shouldn't be paid for the time they spend on this aspect of patient care?
     
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  3. Annie
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    Annie Diamond Member

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    Neither said, nor implied. The idea of built in incentives is the problem. Think about false medicaid reports, read about those all the time. Now imagine a computer program that can 'reeducate' everyone over 60 every 5 years. That's just one aspect.

    More to the point of your post, the issues of medical power of attorney, living wills, etc., belong with the patient, family, state of health, etc. Not just because they hit a certain age and visit the doc. The state is not your daddy and you are not a child, neither is your grandmother, etc.
     
  4. xsited1
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    xsited1 Agent P

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  5. WillowTree
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    WillowTree Diamond Member

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    have you, as yet explained the 500 billion dollars in cuts to medicare! who will suffer? who will be denied? have you explained that.
     
  6. geauxtohell
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    geauxtohell Choose your weapon.

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    Good for fox news for breaking this. I mean, Oregon has only been doing this for over a decade. Of course, anything to pimp the issue, right?

    At any rate, 400 patients have utilized this option.

    This is completely different than end of life planning. PAS is for patients who meet a distinct set of criteria, are terminal (not merely depressed), and have themselves chosen the option.

    The facts:
    FAQs about Death with Dignity
     
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  7. rdean
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    rdean rddean

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    Not sure what "End of Life" is.

    But "Living Will" was authored by Republican Senator Susan Collins. More than a third of "Obama's" bill was written by Republicans.
     
    Last edited: Aug 9, 2009
  8. Annie
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    Annie Diamond Member

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    Anything the government defines it as, if we go along.
     
  9. Zoom-boing
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    Zoom-boing Gold Member

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    EDITORIAL: A euthanasia mandate - Washington Times
     
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  10. WillowTree
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    WillowTree Diamond Member

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    :clap2:
     

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