Say goodbye to grandma and grandpa.
U.S. President Barack Obama is reenacting the controversial end-of-life Medicare provision contained in the original ObamaCare bill which sent shockwaves through the elderly community last year.
Recall that Obama used his own dying grandmother to illustrate the need to cut waste in Medicare spending by denying expensive medical procedures to the elderly.
The provision, which called for ‘death panels’ to recommend cheaper end-of-life alternatives to doctors and their elderly patients, caused such an uproar in 2009 that Democrats removed it from the final healthcare bill.
Under the new policy, outlined in a Medicare regulation, the government will pay doctors who advise patients on options for end-of-life care, which may include advance directives to forgo aggressive life-sustaining treatment.
Congressional supporters of the new policy, though pleased, have kept quiet. They fear provoking another furor like the one in 2009 when Republicans seized on the idea of end-of-life counseling to argue that the Democrats’ bill would allow the government to cut off care for the critically ill.
(Please read that last paragraph again.)
After learning of the administration’s decision, Democrat Earl Blumenauer, the author of the original end-of-life proposal within ObamaCare, urged supporters not to crow about it.
In an email he sent out to his supporters in Congress, Blumenauer wrote: “While we are very happy with the result, we won’t be shouting it from the rooftops because we aren’t out of the woods yet,”
The e-mail continued: “Thus far, it seems that no press or blogs have discovered it, but we will be keeping a close watch and may be calling on you if we need a rapid, targeted response. The longer this goes unnoticed, the better our chances of keeping it.”
Naturally, advocates for the elderly are appalled — and rightfully so.
“The infamous Section 1233 is still alive and kicking,” said Elizabeth D. Wickham, executive director of LifeTree. “Patients will lose the ability to control treatments at the end of life.”
You’re probably asking what’s the difference between this new law and advanced directives that are already discussed with patients who are admitted to hospitals?
Well, hospital staff aren’t being paid incentives to discuss advanced directives with you. But the Obama administration wants to pay outpatient doctors to “aggressively” discuss advanced directives with you and your Medicare-eligible parents/ grandparents during regular doctor office visits.
And you know what happens when greedy doctors smell money: say goodbye to grandma and grandpa.
On a sidenote the snow in NC is beautiful
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why should 75 80y/o brain dead moms and pops be able to stay on a ventilator for months on taxpayers money. Unfortunately, grieving families are not able to make sensible decisions at this time and this is why that issue needs discussion early. to reduce the national debt and this huge burden to taxpayers, we must find ways to reduce the cost of medicare…and saying bye to granny and papa when it is time is a start..
Sandra, thank you for this post! My sister predicted this many years ago, and it is now here. I’ve seen this happen FIRST HAND with my mother. My mom (who is now 79) took ill in early 2009 and was in the hospital during that whole year more than she was at home with life-threatening emergencies and a myriad of other ailments. The doctors throughout that year (and until recently), pushed this “end-of-life” talk with her. They tried to get me and my sister to sign a “Do Not Resusitate” order. In fact, when my mom was in the hospital, we stayed by her side 24/7 because we didn’t trust them to do the right thing by her. Thanksfully, we did because her attending physician tried to prescribe an extremely high dosage of morphine. Actually, the doses she prescribed would’ve overdosed my mom because she cannot tolerate high doses of certain narcotics due to her severe heart and lung problems. It will only get worse with this policy and the with cuts in Medicare that have already taken place. I’ve heard horror stories of elderly patients in nursing homes given high doses of morphine which eventually stopped their breathing. These are people who weren’t even in hospice.
My mom’s PCP visits our home, and, until recently, she still pushed this end-of-life issues (which my sister and I immediately shut down!) and have refused some treatments that could possibly make certain medical issues better. They didn’t expect my mom to survive, but it’s been two years since the hellish ordeal began, and she’s still here!
People can ignore the facts until it slaps them square in them in the face when they least expect it. How can we see if our eyes aren’t open?
BTW, sorry for the long post
Reading is fundamental. That’s all I have to say.
proberson07 says:
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LOL! What? No comment?
dopedillema says:
why should 75 80y/o brain dead moms and pops be able to stay on a ventilator for months on taxpayers money.
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First of all, they’re human beings. And, secondly, as a nurse, I’ve never seen a family or doctors leave “brain dead” grandparents on ventilators for months. They are considered brain dead, so the plug is pulled. But that’s not what this post is about. This is the problem with you kids who lack basic reading and comprehension skills.
When my gma passed in Jan I was glad she was no longer in pain there wasn’t anything else the Doc could do for her and she was in so much PAIN as much as I wanted and prayed for a miracle I had to accept the fact that it was her time(she was 91 but until she got sick was in her right mind and decent/good health she always said she would live to be 100). I don’t want to live in a veggie state so pull the plug on me.
@ KrayZKat: Thank you for sharing your experience with us. Obama and his political cronies only see the almighty dollar and how they can keep more of it in their pockets. They fail to see the human dynamics behind the family’s needs as well as the dying patient. We’ve all heard the rumors that doctors prescribe morphine to hasten patient’s deaths so they can free up beds in nursing homes. The cause of death is always “natural causes.” But what is so natural about drug-assisted deaths? Thank you for being diligent and involved in your mom’s treatment. Treasure that extra time you have to spend with her.
@ Daisy: This post is not about pulling the plug on people laying in hospitals. This post is about Outpatient doctors encouraging alert & oriented elderly patients to forego expensive procedures such as hip replacements and pacemakers, which would relieve their pain and add years to their lives. Obama does not want to extend the lives of people over 65 whether they are healthy or not.
In other words, Obama wants to PAY doctors to encourage their patients to choose pain medicine instead of the costly hip replacement procedures. Please read the post instead of skimming over it. This could mean death for you at an early age.
You’re welcome, Sandra.
I apologize for the long tangent, but this subject really hits home to me. I can’t imagine a society that would sit back and allow such evil to happen without even a fight. Doesn’t this whole policy go against the Hippocratic Oath, “I will follow that method of treatment which according to my ability and judgment, I consider for the benefit of my patient and abstain from whatever is harmful or mischievous. I will neither prescribe nor administer a lethal dose of medicine to any patient even if asked nor counsel any such thing nor perform the utmost respect for every human life from fertilization to natural death…”
Sandra, I do treasure everyday I have with my mom. If my sister and I weren’t diligent with my mom’s care, she wouldn’t be here today. I wouldn’t have it any other way.
Thanks again.
@Sandra I do not think that is what he wants to do so we will agree to disagree
My boss just had her 2nd hip replacement and she is over 60
But the Obama administration wants to pay outpatient doctors to “aggressively” discuss advanced directives with you and your Medicare-eligible parents/ grandparents during regular doctor office visits.
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As they should. Having spent 12 years as a BSN prepared nurse (worked it all), I know that grieving family members are rarely able to make the right decision when they are on the units intubated.
Pardon me Sandra, if I dont have time to read your posts thoroughly and make in depth thought provoking commnets. Its a gossip blog!!!!!
Obama does not want to extend the lives of people over 65 whether they are healthy or not
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thats just foolish….
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My people the time is near…Get right!
Good post Sandra…
and she’s still here!
People can ignore the facts until it slaps them square in them in the face when they least expect it. How can we see if our eyes aren’t open?
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Amen! why are we so lazy and stubborn to not WAKE UP
to reduce the national debt and this huge burden to taxpayers, we must find ways to reduce the cost of medicare
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LOL. please dont fall for it! your gonna be burden with TAXES, expensive medical care regardless.. we can live in the perfect world AND your government will find a way to tax u, spike med care etc… there is no relief, its a gimmick, a ploy to give u hope.. WAKE up
Just like the most harmful/cheapest birth controls (i.e Depo) are pushed on low income individuals receiving government care, its not surprising that the same approach would be applied to the federally insured elderly. It isn’t realistic for everyone to pay for their own care/insurance, but you get what you pay for in this world. Sad, sometimes uncomfortable, but true.
I love my mom and my siblings and I are busting our butts now so that
1) She wouldn’t have to be thrown away in a nursing home (where she’s spent her life working and providing genuinely compassionate care to others) 2) We can pay for her healthcare so that she doesn’t have to be a cattle/reliant on the government in the hopes that they would provide the best care for her.
Public health is about basic care, nothing fancy.
hmmmmm…..