Years after Sarah Palin was mocked, and even received a Lie Of The Year award from Politifact, for suggesting that Obamacare contained ‘death panels’, the New York Times has reported that as early as next year Medicare will indeed reimburse doctors for end-of-life consultations.
Critics state that this will end up encouraging sick patients to reject costly treatments that would prolong their life. Of course, doctors will be on the government payroll, who will want to cut healthcare costs…if not for any reason than to line their pockets with more money, like we’ve seen at the VA.
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<!–nextpage–>And after the government ends up choosing who can go to medical school, which is surely on the government’s agenda, well…
End-of-life care represents around 22% of all of medical spending in the US. A former Obama adviser, Steve Rattner, has openly stated that we ‘need death panels’ to curb healthcare costs for everyone.
“We need death panels,” Rattner simply wrote. “ Well, maybe not death panels, exactly, but unless we start allocating health care resources more prudently — rationing, by its proper name — the exploding cost of Medicare will swamp the federal budget.”
DUNDEE, N.Y. — Five years after it exploded into a political conflagration over “death panels,” the issue of paying doctors to talk to patients about end-of-life care is making a comeback, and such sessions may be covered for the 50 million Americans on Medicare as early as next year.
Bypassing the political process, private insurers have begun reimbursing doctors for these “advance care planning” conversations as interest in them rises along with the number of aging Americans. People are living longer with illnesses, and many want more input into how they will spend their final days, including whether they want to die at home or in the hospital, and whether they want full-fledged life-sustaining treatment, just pain relief or something in between. Some states, including Colorado and Oregon, recently began covering the sessions for Medicaid patients.
But far more significant, Medicare may begin covering end-of-life discussions next year if it approves a recent request from the American Medical Association, the country’s largest association of physicians and medical students. One of the A.M.A.’s roles is to create billing codes for medical services, codes used by doctors, hospitals and insurers. It recently created codes for end-of-life conversations and submitted them to Medicare.
The Centers for Medicare and Medicaid Services, which runs Medicare, would not discuss whether it will agree to cover end-of-life discussions; its decision is expected this fall. But the agency often adopts A.M.A. recommendations, which are developed in meetings attended by its representatives. And the political environment is less toxic than it was when the “death panel” label was coined; although there are still opponents, there are more proponents, including Republican politicians.
If Medicare adopts the change, its decision will also set the standard for private insurers, encouraging many more doctors to engage in these conversations.
“We think it’s really important to incentivize this kind of care,” said Dr. Barbara Levy, chairwoman of the A.M.A. committee that submits reimbursement recommendations to Medicare. “The idea is to make sure patients and their families understand the consequences, the pros and cons and options so they can make the best decision for them.”
Now, some doctors conduct such conversations for free or shoehorn them into other medical visits. Dr. Joseph Hinterberger, a family physician here in Dundee, wants to avoid situations in which he has had to decide for incapacitated patients who had no family or stated preferences.
Recently, he spent an unreimbursed hour with Mary Pat Pennell, a retired community college dean, walking through advance directive forms. Ms. Pennell, 80, who sold her blueberry farm and lives with a roommate and four cats, quickly said she would not want to be resuscitated if her heart or lungs stopped. But she took longer to weigh options if she was breathing but otherwise unresponsive.
“I’d like to be as comfortable as I can possibly be,” she said at first. “I don’t want to choke, and I don’t want to throw up.”
With reimbursement, “I’d do one of these a day,” said Dr. Hinterberger, whose 3,000 patients in the Finger Lakes region range from college professors to Mennonite farmers who tie horse-and-buggies to his parking lot’s hitching post.
If Medicare covers end-of-life counseling, that could profoundly affect the American way of dying, experts said. But the impact would depend on how much doctors were paid, the allowed frequency of conversations, whether psychologists or other nonphysicians could conduct them, and whether the conversations must be in person or could include phone calls with long-distance family members. Paying for only one session and completion of advance directives would have limited value, experts said.
“This notion that somehow a single conversation and the completion of a document is really an important intervention to the outcome of care is, I think, a legal illusion,” said Dr. Diane E. Meier, director of the Center to Advance Palliative Care. “It has to be a series of recurring conversations over years.”
End-of-life planning remains controversial. After Sarah Palin’s “death panel” label killed efforts to include it in the Affordable Care Act in 2009, Medicareadded it to a 2010 regulation, allowing the federal program to cover “voluntary advance care planning” in annual wellness visits. But bowing to political pressure, the Obama administration had Medicare rescind that portion of the regulation. In doing so, Medicare wrote that it had not considered the viewpoints of members of Congress and others who opposed it.
Politically, the issue was dead. But private insurers, often encouraged by doctors, began taking steps.
Yeah I want to send a big thank you to the idiots who voted for these butt holes. Thanks a lot hope you can get the blood off your hands. Not really I hope you live with it every minute of everyday for the rest of your life.
congress loved it so much that they passed it for us but exempted themselves. the aca is a joke. and it needs to be repealed and Obama needs to be in prison for treason.
Sarah was right
I can’t wait for all the liberals who backed obama on this to get sick one day. They will see what they’ve done!!!!
Clearly the majority of Americans are blind and their hearts are hardened.
EXPOSING HUSSEIN OBAMA’S POORLY-HIDDEN WICKED WAR ON AMERICANS TO DESTROY CHRISTIANITY AND AMERICA
That is why this compulsive Mohammadan serial liar Hussein Obama has no strategy to fight iSIS as he was the one whose actions led to the creation of iSIS, whose fighters he had helped trained and armed. To start such a dreadful islamic killing machine iSIS (which grew out of a losing Al-Qaeda outfit in Iraq), Hussein Obama released his Mohammadan brothers from American jail in Iraq—the dreadful leader and caliph of iSIS Abu Bakr al-Baghdadi and his colleagues in American jail in Iraq in 2009.
That is why this nincompoop Hussein Obama has to agonise whether he should be forced to have a strategy to fight his brethren in iSIS he had helped to create, or whether he should destroy those Mohammadan demoniacs he had trained and armed, even when many, many thousands of Muslims are among the vast numbers in iSIS genocides too.
That’s is why this devious and hypocrite Mohammadan Hussein Obama hates Quranic goodness and loves Quranic badness and wrongness as this Hussein loves doing islamic lying and evil he needs for his War (stealth jihads) on Americans, to destroy America and Christianity (and with it ALLAH’s ISLAM that Jesus preaches in Matthew 7:21-23) for his allah’s sake.
So Hussein Obama is a covert fanatical Mohammadan taqiyyan, not a real Muslim.
Because he loves Quranic badness and wrongness to sustain his devious, compulsive islamic lying he needs to prosecute his divisive politics on race and religion to weaken and destroy America for his allah’s sake through his stealth jihads to make allah’s islam the supreme religion in America..
That is why Mohammadan Hussein Obama hates Quranic goodness that I—as a Christian—love so much (re Philippians 4:8) and had openly shared with you in my email in January 2009 for his Inauguration to help him, as American President, to unite all Americans and make America great again: into a peaceful, harmonious, loving and caring nation, and so be an inspiring testimony of how good and great ALLAH is. [Jews call ALLAH (in Arabic) YHWH (the Hebrew tetragrammaton for the Supreme Deity)].
It was ALLAH Who created the universe and everything in His vast universe. And it was ALLAH Who led the Israelites out of Egyptian bondage, cross the Red Sea and into the Holy Land He gave to the Jewish patriarchs and their Jewish descendants for their possession and inheritance; not to Arabs or Muslims (Q5:21, Q7:137-138, Q17:104, Q26:59). So Jews are the rightful owners of the Holy Land, not unlawful occupiers.
But Hussein Obama hates Quran goodness (like the beautiful Quranic Prayer of King Solomon—ALLAH’s Prophet Suleiman—in An-Naml 27:19), because it will cure and stop him from his compulsive islamic lying for his allah’s sake, to turn America into another ungovernable islamic swampland. This is proof and indictment of this evil Mohammadan Hussein Obama and his treasonous War against America and Americans.
Here is the beautiful Quran Prayer that Hussein Obama hate:
“Inspire me, O ALLAH! to be thankful to Thee for Thy favours to me and my loved ones to do good deeds which will please Thee. Admit me, through Thy mercy, O ALLAH! to be among Thy righteous.” (An-Naml 27:19).
“For the noblest in ALLAH’s sight is he/she who is the most righteous.” (Al-Hujurat 49:13).
Ameen!
Here’s How Obama Plans To “Wipe Out” Christianity From Our Military
By Conservative Post on September 1, 2014
http://conservativepost.com/heres-how-obama-plans-to-wipe-out-christianity-from-our-military/
The Pentagon has been debating recently how they can approach being religiously tolerant, with emphasis on tolerant being taken very loosely.
It starts with this administration working with the “Military Religious Freedom Association”, a known atheist organization. Mikey Weinstein, a known atheist is the current head of the organization. This man is not who the Pentagon should be speaking to when it comes to religious freedom, or lack thereof.
“Free exercise of religion dates back to the beginning of our military, all the way back to George Washington bringing chaplains into the military.” said Lt. Gen. Jerry Boykin (Ret.). He continued, “The very people that are now being threatened are the people out there defending the 1st amendment right.”
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The Military Religious Freedom Organization wants to enforce a regulation that says that, “military members who exercise their faith should essential be court-martialed”.
What they are doing is sending a signal across America to parents that when your sons and daughters join the military they will have to check their faith at the door.
Watch the conversation here:
http://www.youtube.com/watch?v=VNbH_5XhO6U
The Department of defense release the following statement to Fox News on the subject.
Religious proselytization is not permitted within the Department of Defense. Court-martials and non-judicial punishments are decided on a case-by-case basis. -Nate Christensen (Dept. of Defense)
The worst thing we can do is take away the ability for a soldier to express his faith. If that is taken away, our country will no longer be able to defend itself from our enemies both physical and spiritual.
Mideast expert: Obama switched sides in war on terror
‘America has moved toward its Muslim enemies’
http://www.wnd.com/2014/08/cia-expert-obama-switchedsides-in-war-on-terror/#XOmOEEEe76HLP2MQ.99
Hussein Obama was “previously quite religious in islam”
http://pamelageller.com/2009/04/obama-was-previously-quite-religious-in-islam.html/
This IS WHY the New world order is going down! Because HUMAN LIFE IS IMPORTANT! They do not think so! But we the people are AWAKE!! We will roar!
What away to RID A Large Portion of White Americans whom worked and deserve their retirement , OH but wait he’s given that to the lazy misfortunate , Yip time to Rid the white’s ! so convince you to just die ! Truth is a Lobotomy on Barrack sounds RIGHT !
Sooo, since I worked my whole life, raised kids, paid taxes, and had the gaul to grow older, then I’M not worth anything? My! If ANY doctor I EVER see tries to convince me I just need to die, they are gonna get an earful! And maybe a butt full of rock salt!
That’s Obama-Care !!!
So the illegal alien can kill us, but if it’s even intimated that harm would come to that scum, they send the secret service?????