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View Diary: Why End of Life Counseling is Imperative (256 comments)

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  •  my $.02 as a family doctor (8+ / 0-)

    This particular bunch of lies really bothers me. It is just so damned hypocritical, disgusting, and it would be laughable if so many fools didn't believe it.

    End of life care accounts for a HUGE chuck of spending. Somewhere around 30% of total Medicare dollars are spent in the last year of life. Thirty percent! In many cases, that is money spent to help keep people alive who are fighting terminal illness, be it cancer, heart disease, kidney failure, what have you.

    Some people want everything done to keep them alive. It is not my place, or an insurance company's place, or the government's place to make that decision. I get that. NOBODY is advocating that the government tell people how to make that decision. The bill allows for your doctor to be reimbursed for helping to counsel you so you can make the best decision about what you want done. It might be nothing, pull the plugs. It might be everything. Either way is fine, the important part is that your loved ones and your doctors know what you want done!

    I don't understand why letting others know what you want is somehow government intrusion. There is no panel, there is no bureaucrat involvement at all! It's a conversation you have with your doctor that is paid for. WTF is the problem?

    Here's the part that gets me that has not been mentioned anywhere I've seen. If you don't have a lving will, don't make your wishes known, then we assume that you want "everything" done. That means keeping you alive on a ventilator in some cases, lots of tests and treatments, perhaps a lengthy hospital or nursing home stay. All that is fine if that's what you want, but if you don't want all that, then by not telling anyone that, you are spending a TON of money that should not be spent! If you don't want all this stuff done, fine, but from a purely economic point of view, it is totally fiscally irresponsible to NOT make your wishes known. If you're worried about too much healthcare spending, then do your part to limit unnecessary spending!

    The government is not telling you to make the decision to not have heroic measures taken, it is allowing YOU an easier avenue to make that choice.

    So these jackasses are screaming and holding signs that they think the government is spending too much, but they won't tell anyone what they want, so the government can go ahead and spend as much as possible on them. It doesn't make sense.

    For a US Senator to say that end of life care should not be discussed is criminal.

    For Democrats to take this out of the bill because some loudmouthed bastards are making up a bunch of lies about it would also be criminal.

    •  Excellent sound bite here (5+ / 0-)
      Recommended by:
      sockpuppet, LNK, mayim, Linda in Ohio, smallgal

      To quote one of your paragraphs:

      I don't understand why letting others know what you want is somehow government intrusion. There is no panel, there is no bureaucrat involvement at all! It's a conversation you have with your doctor that is paid for. WTF is the problem?

      This way of putting it is clear and to the point.  Maybe we should spread it around.  Well, maybe we shouldn't use the last sentence.

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