Near the end of life, too often, patients are unable to effectively communicate their wishes to their doctor. The counseling provision in the proposed healthcare reform bill would ensure that the patient’s wishes are recorded ahead of time in order to give them the dignity of choice in end-of-life care. A campaign on conservative talk radio has sparked fear among senior citizens that the health-care bill moving through Congress will lead to end-of-life “euthanasia.”
Under the plan, Medicare would reimburse doctors for one session every five years to confer with a terminally ill patient about his or her wishes concerning end-of-life medical interventions he/she would prefer and how to ensure those preferences are followed. The counseling sessions would be voluntary.
But on right-wing radio programs, religious e-mail lists and countless conservative blogs, the proposal has been described and, indeed, caricatured, as “putting granny down.”
The following is a debate from my facebook page that began when I posted the following status:
“I believe that no one should die because they cannot afford health care, and nobody should go broke because they get sick. And most importantly, nobody should be denied because of a pre-existing condition. If you agree, post this as your status for the rest of the day.”
And here is the conversation that ensued:
Jane Doe: What do you think about the cuts which are going to be made to elderly healthcare with this proposed option? dont you find it unfair that with the new plan, doctors will be paid extra if they discuss ending treatment with elderly patients, despite said patients’ wishes?
Me: First of all, end-of-treatment counseling appointments are VOLUNTARY. There is no counseling “despite the patients’ wishes.” You’re asking me if I think the fictitious “death panel” is “unfair.” In response to your question, I would think it was preposterous if doctors really were counseling patients to end treatment despite the patient’s wishes. However, that is not happening. It’s right wing TV and talk radio that are blowing the counseling provision out of proportion to create a distraction in order to engender opposition to the health care bill.
JD: It may be surprising-but i rarely ever watch fox news. nor do i allow propaganda to radically alter my opinions on any subject… ok, i should have chosen words more carefully. the sessions are voluntary. however, if docs are given extra for such counseling, who’s to say they won’t push for it with patients? I don’t want to live in a country where doctors care more about making $$$ through government loopholes than about the patients who need them.
Me: If a patient is near death, they can’t effectively express to their doctor exactly how they want to be taken care of. It is much better for doctors to know ahead of time how a patient wants to be taken care of, so that the patient’s wishes are followed. End-of-life consultation isn’t this evil thing intended to “put granny down,” and doctors aren’t looking to make tons of money off letting patients die faster. It is simply a way to let patients have more of an impact on their own treatment, and thus, more dignity. And if you’re as distrustful of doctors as you just stated, shouldn’t you be for the socialization of healthcare as opposed to its continued privatization? Just saying, if doctors are moneygrubbing evildoers as you claim, wouldn’t a little more regulation be in order…?
JD: no-i am an american who lives in a capitalist society with free enterprise, and should be allowed to CHOSE who takes care of my body. doctors should be allowed to run their own private businesses, without worrying about the government stepping in. just think of some of your favorite government institutions- the dmv, for example. it’s awesome! it’s efficient… and of the highest quality! lets now translate that concept to medicine. do you sincerely believe that the government would be able to regulate something as enormous as healthcare? Other systems, like medicaid/medicare are now defunct. What’s to say this idea will be different, with such a terrible track record? I think that overall- you are being far too idealistic. Claiming that doctors dont care about making extra money. who wouldnt want to make extra money? and do you really think that obama cares about granny’s dignity? get real. this is all about gaining power.
Me: Oops! I said “socialism”! amazing how its become such a dirty word these days… now to the topic: people want to make money, but I really do think that doctors, for the most part, genuinely care about their patients. When it comes down to it, the patient can say “no” to end of life counseling. You hold very contradictory opinions concerning health care. you claim to be a supporter of free enterprise, yet you don’t trust doctors to run their own businesses. You call me idealistic for believing in them (i.e. that they aren’t evil, as you seem to think) although believing in small business is a fundamental part of conservative ideology. I appreciate what you said about the inefficacy of government run programs, however, the current health care bill wouldn’t turn the health care industry into another DMV. it wouldn’t put a bureaucrat between you and your doctor, and you can still choose your own doctor and insurance. the counseling provision is such a small part of the bill, and clearly, we won’t agree on it.
I find it interesting that so many people are afraid of socialized health care, when France’s health care system was rated “the best in the world” (number 1) by the World Health Organization, while the USA remains at number 37, behind Costa Rica and Chile. Obama’s health care bill isn’t necessarily socialized medicine, but if he wanted to go that way, I would wholeheartedly support it. This conversation just goes to show how brainwashed many Americans are, in that they believe that the way of the past is the only way.