I have no objections to paying doctors to help people plan the kind treatment they would want if incapacitated. And now, Medicare is paying for it. From the New York Times story:
Under the rule, officials said, Medicare would pay $86 for the first 30 minutes of โadvance care planningโ in a doctorโs office and $80 for the service in a hospital. In both settings, they said, Medicare will pay up to $75 for 30 additional minutes of consultation. These standard amounts can be adjusted for differences in costs in different parts of the country.
While this isnโt a โdeath panel,โ it is important that the conversations donโt push people into refusing careโwhich some fear could happen (not unreasonably) given the cost-saving drive of the Obamacare technocracy.
Politicians say the focus should be on making sure patient decisions are honored.
The new rule fulfills the vision of Representative Earl Blumenauer, Democrat of Oregon, who said, โThe decision by the Centers for Medicare and Medicaid Services to create a benefit for advance care planning is a turning point in end-of-life care.โ Now, he said, the challenge is to make sure that the wishes of patients and family members are โunderstood, respected and enforced.โ
That already isnโt much of a problem if the choice made is to refuse care and die.
But these days โchoiceโ can be a one-way street. Bioethicists are trying to give doctors and hospital committees veto power over patient advance decisions to accept life-sustaining treatment under what is known as โmedical futility.โ
I just wish โthe politiciansโ would push back as hard against the โno right to liveโ agenda as they do for the โright to die.โ.






Comments