By: DAR

DAR — Sun, 29 Nov 2009 16:44:23 +0000

No. It will make you have those sessions, and given that half a trillion is being cut from already insolvent medicare and the standard for care is being lowered to ‘cost effective’ treatment, and given the rationing of health care for the elderly in other countries with similar concerns, and the support for such rationing in the writings of those like Emmanuel’s brother who have been brought on as experts, it is pretty certain there will be rationing of what care it is ‘worth’ giving elderly people, however. Obviously, if you aren’t able to get quality of life care such as a hip replacement after 75, even if you might otherwise live to be a hundred, when you are faced with end of life decisions, life might well be less worth living, for many.

By: Darin H

Darin H — Sun, 29 Nov 2009 14:57:44 +0000

Just read page 425 from section 1233 of the Health Care Bill H.R. 3200.
I’m so sick of rabble rousing conservatives I could puke!
Read the GODDAMN bill!!!
5 SEC. 1233. ADVANCE CARE PLANNING CONSULTATION.
6 (a) MEDICARE.—
7 (1) IN GENERAL.—Section 1861 of the Social
8 Security Act (42 U.S.C. 1395x) is amended—
9 (A) in subsection (s)(2)—
10 (i) by striking ‘‘and’’ at the end of
11 subparagraph (DD);
12 (ii) by adding ‘‘and’’ at the end of
13 subparagraph (EE); and
14 (iii) by adding at the end the fol
15 lowing new subparagraph:
16 ‘‘(FF) advance care planning consultation (as
17 defined in subsection (hhh)(1));’’; and
18 (B) by adding at the end the following new
19 subsection:
20 ‘‘Advance Care Planning Consultation
21 ‘‘(hhh)(1) Subject to paragraphs (3) and (4), the
22 term ‘advance care planning consultation’ means a con23
sultation between the individual and a practitioner de24
scribed in paragraph (2) regarding advance care planning,
25 if, subject to paragraph (3), the individual involved has
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425
•HR 3200 IH
1 not had such a consultation within the last 5 years. Such
2 consultation shall include the following:
3 ‘‘(A) An explanation by the practitioner of ad4
vance care planning, including key questions and
5 considerations, important steps, and suggested peo6
ple to talk to.
7 ‘‘(B) An explanation by the practitioner of ad8
vance directives, including living wills and durable
9 powers of attorney, and their uses.
10 ‘‘(C) An explanation by the practitioner of the
11 role and responsibilities of a health care proxy.
12 ‘‘(D) The provision by the practitioner of a list
13 of national and State-specific resources to assist con14
sumers and their families with advance care plan15
ning, including the national toll-free hotline, the ad16
vance care planning clearinghouses, and State legal
17 service organizations (including those funded
18 through the Older Americans Act of 1965).
19 ‘‘(E) An explanation by the practitioner of the
20 continuum of end-of-life services and supports avail21
able, including palliative care and hospice, and bene22
fits for such services and supports that are available
23 under this title.
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•HR 3200 IH
1 ‘‘(F)(i) Subject to clause (ii), an explanation of
2 orders regarding life sustaining treatment or similar
3 orders, which shall include—
4 ‘‘(I) the reasons why the development of
5 such an order is beneficial to the individual and
6 the individual’s family and the reasons why
7 such an order should be updated periodically as
8 the health of the individual changes;
9 ‘‘(II) the information needed for an indi10
vidual or legal surrogate to make informed deci11
sions regarding the completion of such an
12 order; and
13 ‘‘(III) the identification of resources that
14 an individual may use to determine the require15
ments of the State in which such individual re16
sides so that the treatment wishes of that indi17
vidual will be carried out if the individual is un18
able to communicate those wishes, including re19
quirements regarding the designation of a sur20
rogate decisionmaker (also known as a health
21 care proxy).
22 ‘‘(ii) The Secretary shall limit the requirement
23 for explanations under clause (i) to consultations
24 furnished in a State—
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•HR 3200 IH
1 ‘‘(I) in which all legal barriers have been
2 addressed for enabling orders for life sustaining
3 treatment to constitute a set of medical orders
4 respected across all care settings; and
5 ‘‘(II) that has in effect a program for or6
ders for life sustaining treatment described in
7 clause (iii).
8 ‘‘(iii) A program for orders for life sustaining
9 treatment for a States described in this clause is a
10 program that—
11 ‘‘(I) ensures such orders are standardized
12 and uniquely identifiable throughout the State;
13 ‘‘(II) distributes or makes accessible such
14 orders to physicians and other health profes15
sionals that (acting within the scope of the pro16
fessional’s authority under State law) may sign
17 orders for life sustaining treatment;
18 ‘‘(III) provides training for health care
19 professionals across the continuum of care
20 about the goals and use of orders for life sus21
taining treatment; and
22 ‘‘(IV) is guided by a coalition of stake23
holders includes representatives from emergency
24 medical services, emergency department physi25
cians or nurses, state long-term care associa-
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By: Bye Bye

Bye Bye — Sun, 29 Nov 2009 14:51:31 +0000

Nope…more scare ware from the right fear machine.

By: Brian

Brian — Sun, 29 Nov 2009 10:16:59 +0000

No, but I wouldn’t count on any care that may be costly when there are younger people those resources could be spent on..

By: kscottmc

kscottmc — Sun, 29 Nov 2009 04:18:26 +0000

The bill doesn’t say you’ll be expected to die sooner, but that will be the effect of the bill.

By: Free At Last

Free At Last — Sat, 28 Nov 2009 22:52:41 +0000

Your sister is lying to you. Find a better source for information. Perhaps wikipedia can help?

By: bdouglas

bdouglas — Sat, 28 Nov 2009 18:38:13 +0000

You and everyone else pushing this lie are completely insane.

By: wiemerca

wiemerca — Sat, 28 Nov 2009 12:50:10 +0000

You are not supposed to read any of 0bamas legislation until after it is passed. You may be nearing your expiration date for daring to question his will

By: Anonymous

Anonymous — Sat, 28 Nov 2009 11:59:59 +0000

No. THat is just more hate and fear mongering by Republicans.
Tell your sister to stop passing on email spam as legitimate facts.

By: The Ayes Have It

The Ayes Have It — Sat, 28 Nov 2009 08:55:27 +0000

No. But when the end of your life does come, you have the choice of talking with a counselor. I have read the bill, and that is what it says.

Comments on: Does The Obama Health-care Bill Really Say I Will Be Expected To End My Life As I Age?