Human Exceptionalism

Obamacare: Could Assisted Suicide Promoters Be Paid to Fill Out Death Request Forms?

In a previous post about the new House version of Obamacare, I concluded that the end of life counseling provisions had been improved but could still use further clarification.  But I have a concern about assisted suicide in an area not connected to end of life counseling or advance directives.

There is a section deep in the bill that would appear to pay for “advocacy services,” provided to beneficiaries receiving “home or community based services,” starting at page 1593.  I wonder whether this section could permit back door assisted suicide advocacy in states where it is legal. The key question comes up on page 1594. From the bill:

(e) ADVICE AND ASSISTANCE COUNSELING.—An agreement entered into under subsection (a)(2)(A)(iii) shall require the entity to assign, as requested by an eligible beneficiary that is covered by such agreement, an advice and assistance counselor who shall provide an eligible  beneficiary with information regarding—(1) accessing and coordinating long-term services and supports in the most integrated setting;  (2) possible eligibility for other benefits and services; (3) development of a service and support plan; (4) information about programs established under the Assistive Technology Act of 1998 and the services offered under such programs; (5) available assistance with decision making concerning medical care, including the right to accept or refuse medical or surgical treatment and the  right to formulate advance directives or other written instructions recognized under State law, such as a living will or durable power of attorney for health care, in the case that an injury or illness causes the  individual to be unable to make health care decisions; and (6) such other services as the Secretary, by regulation, may require.

It seems to me that this could be construed as permitting an advocacy group like Compassion and Choices to be paid to help eligible people who want assisted suicide to fill out the required forms and advise about assisted suicide services.  Note, there is no prohibition on this section for “promoting” assisted suicide as there is in the advance directive section.  Moreover, relevant to both this and the previous post,  Compassion and Choices says that assisted suicide of the terminally ill by physicians isn’t assisted suicide, but “aid in dying.”  It is even facilitating a lawsuit in CT to have a judge legalize assisted suicide by redefinition.

The ridiculous “aid in dying” scheme aside, I certainly don’t know that this was the intent of the drafters or, indeed, whether my concern is warranted. But I don’t see anything in this section of the bill that would preclude payment for assisted suicide advocacy services in states where it is legal.  The devil would be in the regulatory details.  Indeed, with Compassion and Choices is striving to become the Planned Parenthood of death, I have little doubt that it and other such groups would seek payment for assisted suicide advocacy services they now offer for free if Obamacare passes.

Most Popular

Law & the Courts

The NLRB’s Humorless Insensibility

The text of the National Labor Relations Act does not, so far as we can tell, require the National Labor Relations Board or its personnel to have their sense of humor surgically removed. Nor does it prohibit the NLRB’s judicial proceedings from considering context, common sense, or elementary reality in making ... Read More
Law & the Courts

The NLRB’s Humorless Insensibility

The text of the National Labor Relations Act does not, so far as we can tell, require the National Labor Relations Board or its personnel to have their sense of humor surgically removed. Nor does it prohibit the NLRB’s judicial proceedings from considering context, common sense, or elementary reality in making ... Read More

If You Like Your Police, You Can Keep Your Police

The most amusing thing about the Obama v. the Squad kerfuffle is that there is not actually an inch of substantive daylight between the supposed combatants. Former President Obama does not disagree with the sentiments or objectives of Ilhan Omar et al. He disagrees with their tactic of pursuing it through a ... Read More

If You Like Your Police, You Can Keep Your Police

The most amusing thing about the Obama v. the Squad kerfuffle is that there is not actually an inch of substantive daylight between the supposed combatants. Former President Obama does not disagree with the sentiments or objectives of Ilhan Omar et al. He disagrees with their tactic of pursuing it through a ... Read More
Film & TV

Wonder Drug Cures All Problems

I’ve just discovered a film that has changed my life. Give it a chance, and it’ll change yours, too. The film is Another Round, by the sly Dane Thomas Vinterberg (The Celebration), and it heralds the discovery of a miraculous substance by four friends, all of them high-school teachers in Denmark, on the ... Read More
Film & TV

Wonder Drug Cures All Problems

I’ve just discovered a film that has changed my life. Give it a chance, and it’ll change yours, too. The film is Another Round, by the sly Dane Thomas Vinterberg (The Celebration), and it heralds the discovery of a miraculous substance by four friends, all of them high-school teachers in Denmark, on the ... Read More
Economy & Business

NASDAQ against Shareholder Rights

The function of a stock exchange is to provide an orderly market for the trading of securities. As part of that, a stock exchange will generally insist that a listed company will agree to meet certain financial disclosure requirements designed to ensure that investors have sufficient information with which to ... Read More
Economy & Business

NASDAQ against Shareholder Rights

The function of a stock exchange is to provide an orderly market for the trading of securities. As part of that, a stock exchange will generally insist that a listed company will agree to meet certain financial disclosure requirements designed to ensure that investors have sufficient information with which to ... Read More

Watching Les Watchmen

The best science fiction — and some of the most terrifying science fiction — has a short literary shelf life, because it does not stay fiction for long. In the much-admired HBO series Watchmen, which is set not in a dystopian future but in a reimagined present, the police have begun wearing masks in order to ... Read More

Watching Les Watchmen

The best science fiction — and some of the most terrifying science fiction — has a short literary shelf life, because it does not stay fiction for long. In the much-admired HBO series Watchmen, which is set not in a dystopian future but in a reimagined present, the police have begun wearing masks in order to ... Read More