This is as far as I have gotten while reading this thread.....
Here it is in a nutshell.....
Doctors were and are not INCENTIVIZED to recomend someone end treatment, with these new provisions they will be.
The key is incentivized.... Doctors have always been able to discuss end of life options... its a normal thing to do.
Some folks dont want to be resucitated or intubated... they just want to die naturally and maybe with some pain relief, and then there are others who will fight to the very end.
So yes doctors have always been able to discuss this, but now it will be at our expense and in the doctors best interest for said patient to just "take the pain meds" in order to save money.
I guess you are more stupid than I thought...which is a pity.
When discussing end of life options, all we do is encourage people to make their own decision and to let us know what they want to be done, so that we don't do more or less than they want.
In previous generations, these topics were never discussed which ended up resulting in people with feeding tubes and intubations etc that they never really wanted (but didn't know that they had a choice).
By discussing these issues, it allows the PATIENT to make the decision ahead of time, and to let it be known what they want to do.
It also prevents a lot of heartache on the part of the family members, who have to make difficult decisions for their loved ones, and possibly feel guilty about it, or get into fights about it.
Essentially, discussing Advanced Directives is like having Informed Consent prior to surgery.