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T. Mac
12-26-2010, 01:13 PM
http://www.msnbc.msn.com/id/40811501/ns/health-the_new_york_times/

WASHINGTON — When a proposal to encourage end-of-life planning touched off a political storm over “death panels,” Democrats dropped it from legislation to overhaul the health care (http://www.msnbc.msn.com/id/40811501/ns/health-the_new_york_times/#) system. But the Obama administration will achieve the same goal by regulation, starting Jan. 1.

Under the new policy, outlined in a Medicare (http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/medicare/index.html?inline=nyt-classifier) regulation, the government will pay doctors (http://www.msnbc.msn.com/id/40811501/ns/health-the_new_york_times/#) who advise patients on options for end-of-life care, which may include advance directives to forgo aggressive life-sustaining treatment.

Congressional supporters of the new policy, though pleased, have kept quiet. They fear provoking another furor like the one in 2009 when Republicans seized on the idea of end-of-life counseling to argue that the Democrats’ bill would allow the government to cut off care for the critically ill. ...

road kill
12-26-2010, 01:43 PM
http://www.msnbc.msn.com/id/40811501/ns/health-the_new_york_times/


I'm shocked!!:shock:


RK

YardleyLabs
12-26-2010, 02:33 PM
Yep. There go the Democrats trying to take credit for a Republican proposal once again.....

dnf777
12-26-2010, 04:47 PM
Medicare also pays doctors who counsel patients on life saving treatments and services. Why shouldn't they get paid for spending the SAME if not MORE amount of time for professional services and opinions rendered for end of life issues?

I have seen many people kept alive artificially long after their noodle has left the building, for lack of proper counseling regarding futile care. Some people lose touch with reality when it comes to death and dying. There comes a time when medicine should take a back seat to providing comfort and dignity.

Clay Rogers
12-27-2010, 05:33 AM
Medicare also pays doctors who counsel patients on life saving treatments and services. Why shouldn't they get paid for spending the SAME if not MORE amount of time for professional services and opinions rendered for end of life issues?

I have seen many people kept alive artificially long after their noodle has left the building, for lack of proper counseling regarding futile care. Some people lose touch with reality when it comes to death and dying. There comes a time when medicine should take a back seat to providing comfort and dignity.

I agree Dave, to a point. This process should be left up to the people that know and understand what is happening at this point, not the politicians. End of Life planning and care should be between the pt, the doctor and the rest of the healthcare team, period. What you are going to get reimbursed should not come in to play, ever.

BrianW
12-27-2010, 09:30 AM
Jmtc, but there's a difference between offering counseling and requiring it.

If the doc says "If/when you want to talk about your choices as a result of this prognosis at this or another time, we can.." is one thing but;
"Now I am required to disclose your "end-of-life options" under Medicare reg XXXX.XXX, give you this pamphlet, and then have you sign this form acknowledging receipt thereof. If you waive this counseling ..." is something else.

The impersonal, one size fits all approach is what ticked off a bunch of people.