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Name:   lotowner - Email Member
Subject:   US 'Death panels' could be reintroduced
Date:   12/26/2010 9:16:46 PM


US 'Death panels' could be reintroduced

A controversial proposal that was dropped from President Barack Obama's health care reform after it led to claims of 'death panels' being set up is to be introduced using a new United States government regulation.

Under the new policy, contained in a regulation for Medicare, the US government health programme for the elderly, doctors who advise patients on options for end-of-life care will be paid from the public purse.

According to The New York Times, congressional backers of the new policy have kept quiet for fear provoking a furore similar to the one in 2009 when Republicans seized on the notion of end-of-life counselling to claim the bill would lead to government-ordered death sentences.

The final version of the health care legislation, signed into law by Mr Obama last in March, authorised coverage of annual physical examinations but did not include Section 1233, the most controversial part of the bill.

But now the new regulation states that Medicare will cover "voluntary advance care planning" to discuss end-of-life treatment, as part of these examinations.

"Advance care planning improves end-of-life care and patient and family satisfaction and reduces stress, anxiety and depression in surviving relatives," the administration said in the preamble to the Medicare regulation, which quotes research published in the British Medical Journal.





Name:   GoneFishin - Email Member
Subject:   US 'Death panels' could be reintroduced
Date:   12/26/2010 10:09:04 PM

That's really scary. I would hope everyone has a Living Will in force so you don't put the burden on your loved ones. As I understand it, a senior can discuss it with their doctor on a voluntary basis and it will be paid for under Medicare. A far cry from what Queen Palin and the right call a death panel. The right reminds me of chicken little..............



Name:   comrade - Email Member
Subject:   US 'Death panels' could be reintroduced
Date:   12/26/2010 10:14:47 PM

What would be paid for under Medicare?



Name:   GoneFishin - Email Member
Subject:   US 'Death panels' could be reintroduced
Date:   12/26/2010 10:31:29 PM

It appears that the time the physician spends advising the patient on various options would be reimbursed. This is just my assumption from the material I have read. The form(s) currently used allow the individual to select from options and the physician would be in a position to assist in completing it and be reimbursed similar to an attorney receiving reimbursement for advice. Does not appear to be what one would classify as a death panel. One might ask what happens in the absence of such a form under Obamacare? That is an entirely different question than the article that Lottie posted.



Name:   comrade - Email Member
Subject:   US 'Death panels' could be reintroduced
Date:   12/26/2010 10:57:01 PM

So, the legal document can be completed by the doctor and patient? If not, then I'm sure there will be many lawyers ready to proclaim it as "heresay" and not binding (one more liability for the doctors to bear.)  And if it is binding, you can be sure that the government will require MD's to attend "death counseling" training provided under the auspices of the Ministry of Health (oh wait, this isn't Brave New World, is it?)



Name:   GoneFishin - Email Member
Subject:   US 'Death panels' could be reintroduced
Date:   12/27/2010 12:03:06 AM

You obviously have more information than I and thanks for sharing it in a fair and balanced approach.



Name:   GoneFishin - Email Member
Subject:   HERE ARE FORMS FOR YOUR STATE
Date:   12/27/2010 12:18:13 AM

Go this site and you can download forms for your state that you can complete without cost to you or the government. Everyone should have one. http://www.caringinfo.org/stateaddownload



Name:   comrade - Email Member
Subject:   HERE ARE FORMS FOR YOUR STATE
Date:   12/27/2010 6:59:13 AM

I feel better now.



Name:   comrade - Email Member
Subject:   US 'Death panels' could be reintroduced
Date:   12/27/2010 7:02:29 AM

Aren't you here as the scion of "fair and balanced?"



Name:   comrade - Email Member
Subject:   HERE ARE FORMS FOR YOUR STATE
Date:   12/27/2010 7:13:46 AM

It seems you don't grasp the fact that even today! (and for the last 75 years,) one could go to the doctor and discuss these issues, and insurance would pay for it as part of any visit, under the umbrella of physical and mental health.
So filling out a form seems to be the real reason for payment under Medicare. Yes? And once they have the form......



Name:   Yankee06 - Email Member
Subject:   US 'Death panels' could be reintroduced
Date:   12/27/2010 10:06:44 AM

-Death panels revisited! -Not sure it's worth teh effort to revisit this issue, but here goes. -The term "death panels" caused a storm when used by Sarah Palin with teh media interpreting it to apply to teh draft bill's discussion of doctor-patient talks about end-of-life alternatives. That was just a diversion. Death panels were never about that paragraph. -The term "death panels" originated in England and is applied to their "committees" that determine rationing of care. Rationing depends on a logical argument of worth to society of medical care recipients. Example,, does the government give a "rationed" hip replacement or heart transplant to an 88 year-old retiree or to a 40 year-old worker. Under the Brtish system the medical care goes to the worker. -I became very aware of the British system when, at 60 years old, I needed a hip replecement. Under teh British system , I would have been placed on a three-year waiting list, with no guarantee that I would get the hip in three years. Under our system, from the day "I decided" what doctor "I" wanted to do my hip replacement, I had a new hip in 30 days! -The British system is very likely coming to America through all the committees (over a 100 at laast count) authorized by the new heath care bill and ...get this...the 800 billion dollar stimulus bill. -The recess appointment of Berwick , a strong supporter of teh British system, as teh medicare chief assures this rationing mentality. Paul Krugman, the leftist nobel economic winner and strong supporter of Obamacare, stated on a recent TV talk show that there is no way to avoid "death panels" and "rationing" under the new heath care programs. He used those exact terms. -The future of heath care in this country is still up for grabs. It will be interesting to see if the new congress can put a stop to the disaster which is Obamacare. However, it will be even more interesting to see if they can replace it with something that will actully work...and not bakrupt us!



Name:   Talullahhound - Email Member
Subject:   US 'Death panels' could be reintroduced
Date:   12/27/2010 10:20:54 AM


I'm not sure that end of life planning is such a bad thing.   It relieves the elderly's family from having to make painful decisions.  One doesn't need a lawyer to have a living will. 



Name:   MartiniMan - Email Member
Subject:   US 'Death panels' could be reintroduced
Date:   12/27/2010 12:33:57 PM

Actually I have what is termed a Will to Live (pun intended) that is consistent with Catholic teaching on end of life decisions.  For sure everyone should have a Living Will so their wishes are spelled out.

As for this back door maneuver, so much for the Messiah triangulating like Slick Willie.  He is just not that clever. 

But I would not characterize these as death panels.  However, it can be argued this is a first step toward government involvement in end of life decisions....after all they are paying for the consultation so why should they not be allowed to have input?  So we will go from paying for the discussion, then they will provide "guidance" to doctors so they give the "right" advice.  Then they will dictate to the doctors what they are supposed to say in these discussions because these doctors just don't seem to give the "right" advice.  Then they will have their own panel of experts to "consult" with these doctors and finally dictate answers to the doctors.  Mark my words, soon enough we will hear that argument and we will be onto the next step in the process.  This will inevitably lead to government decision making because they are paying after all, right?







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