Editor's note: Douglas W. Blayney, MD, is president of the American Society of Clinical Oncology and professor of internal medicine at the University of Michigan. He specializes in the treatment of breast cancer and lymphoma and was in private practice for 17 years in California. Brenda Nevidjon, RN, is president of the Oncology Nursing Society and clinical professor of nursing at Duke University School of Nursing. She was the first nurse and first woman to be chief operating officer of Duke University Hospital.
Douglas Blayney says a health care bill provision on end-of-life care has been completely misconstrued.
1 of 2 (CNN) -- The heated national debate on health care reform has taken an unusual turn, with many eyes focused on a minor provision regarding end-of-life care embedded in the House bill.
The measure provides coverage for Medicare beneficiaries who elect to meet with their medical team once every five years to discuss options for treatment if they become seriously ill. It's called end-of-life care or advance care planning.
Some opponents of the House bill have expended great energy and resources in recent weeks to convince seniors that this provision will somehow result in government-sponsored euthanasia.
We have seen the volatile response to these allegations at town hall meetings across the country.
This argument is completely false. This provision simply provides for Medicare to pay for voluntary conversations between patients and their health care practitioners on the difficult but important subject of planning for care at the end of life.
The provision is purely optional, and patients would be able to choose whether to discuss the issue with their practitioners. For those who decide to do so, there would be clear benefits.
These discussions can include where a person wants to receive care and how physical needs, including pain, are to be managed. The merits of broader health care reform legislation aside, there should be no controversy about the benefits of end-of-life care planning discussions. According to a 2008 study in the Journal of the American Medical Association, these discussions have been proven to improve patient care and quality of life.