Monker wrote:
And, what you are failing to absorb, or are just choosing to ignore, is all the bill is doing is paying for the discussion. So, it will happen more often. That is something YOU SHOULD BE IN FAVOR of. And, you fail to admit that Republicans turned this discussion into political scare-tactics by calling it a 'death panel'...a total lie, and instead you try to blame Obama for it. Cut through the bullshit and see what really happened.
Your arrogance is really annoying. When it comes to Washington, nothing is "total". My words from a few short days ago:
I have spent a significant amount of my career talking to patients and families about end-of-life choices. These decisions should absolutely be made as part of an 'advance directive' as opposed to at a time when fear and emotions weigh heavily on the ability to make sound decisions. No one wants to "decide" to let someone die - there can be a huge amount of guilt associated with that. I was responsible for helping both my parents and my brother decide end-of-life decisions, so I can also speak to it from a personal level. What I'm reading in the first article posted is that a provision in the bill now will reimburse a physician for the time spent counseling patients about the different aspects of advance directives - and there are tons of things to consider. In addition, there are many misconceptions about the choice to withhold certain treatments (such as the idea that Terry Shiavo 'starved to death' - this simply did not happen) that again once we get past the emotion of impending death it can be a very comforting thing to have these decisions made. With the portability of healthcare records these days it makes sense to have this discussion with your primary care physician.
Now, that said... I think what some people (myself included) are concerned about is the so-called 'slippery slope' that can lead to a "panel" deciding what treatments will be available to patients. For those of you who have been affected by this in the private sector, surely you can understand how this is a real concern for Medicare recipients, especially for those who are at the end of their life. BO's words (we all heard them) suggested that he might be in favor of this when he said that the 95 year old woman might be just as well off to 'take the pill' instead of getting the pacemaker. Hopefully there will be enough checks & balances in place to keep this from happening - I hope there will someone there watching the store.
This bill is robbing Peter to pay Paul - or in this case, 30-some million Pauls... If you think that services won't be cut, you are delusional. Obama has said that he thought perhaps a pacer for a 95 year old isn't a good idea, regardless of her quality of life. THAT should be the deciding factor - QUALITY OF LIFE. While his words may not translate to a 'death panel' (which I agree is a "scare tactic"), it is asolutely within the realm of possibility that seniors care will suffer as a result of the need to pay for care for more patients. So seniors should be scared, IMO. Dean is all about the Canadian HC system and how great it is, but it's common knowledge that folks have to wait for certain procedures that are readily available now in the US. They make choices about who gets what treatment, and/or how soon it will be available. That is not a step in the right direction as far as I'm concerned.
I heard a good analogy of access to healthcare with this new bill. The person suggested that you watch people at a reception when there is an open bar, as opposed to having to pay for drinks. They are much more deliberate in their choices when they have to foot the bill as opposed to when someone else is paying. Think about it, it's absolutely true.