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Obamacare: Example of Why Some Fear “Counseling” About End-of-Life Care Could Become “Persuasion”
First Things/Secondhand Smoke ^ | 8/1/09 | Wesley J. Smith

Posted on 08/02/2009 9:50:09 AM PDT by wagglebee

The Medicare “mandatory counseling” controversy in the Obamacare debate laid bare a realistic fear that compensated counseling under Medicare could easily become subtle (or not so subtle) persuasion to refuse treatment–particularly since the primary point of the clause is to cut costs.

Here is an example of why I believe that the fear is realistic. The Center for Practical Bioethics has published a “Caring Conversations” workbook, in which intimate issues and details of life, death, and end of life options are raised.  Nothing wrong with that, in and of itself, of course.  It all depends on how it is done.

In this regard, it is worth nothing that workbook contains an advance medical directive that has a default position of refusing life-sustaining treatment and participating in medical experimentation when the person will not be restored to health. These are the boilerplate instructions in the “Healthcare Treatment Directive”:

  • I always expect to be given care and treatment for pain or discomfort even if such care may affect how I sleep, eat, or breathe.

  • I would consent to, and want my agent to consider my participation in federally regulated research related to my disorder or condition.
  • I want my doctor to try treatment/interventions on a time -limited basis when the goal is to restore my health or help me experience a life in a way consistent with my values and wishes. I want such treatments/interventions withdrawn when they cannot achieve this goal or become too burdensome for me.
  • I want my dying to be as natural as possible. Therefore, I direct that no treatment (including food or water by tube) be given just to keep my body functioning when I have: a condition that will cause me to die soon, or a condition (including brain damage or brain disease) that I have no reasonable hope of achieving a quality of life that is acceptable to me…

(Among the “quality of life” examples that are suggested to be listed by the document signer are, able to “take care of myself, able to  “feed myself,” and able to “be responsive to my environment.”

The lexicon of the document is far from neutral and presumes that people will not want their lives sustained if they are in a dependent state. If one disagrees with these default positions, the signer must take action:

If you do not agree with one or the other of the above statements, draw a line through the statement and put your initials at the end of the line.

In the wrong hands, end of life counseling could easily be subtly or overtly outcome directed, as studies have shown often happens with genetic counseling of pregnant women testing positive for a Down fetus. Thus, there is much about which to be concerned when Medicare pays practioners to engage in counseling about end of life, and indeed, authorizes part of the counseling to consist of referrals to outside organizations that might have ideological agendas (such as Compassion and Choices). That is why, if the counseling provision remains in the bill, I believe protections against such abuse should be added, href="http://www.firstthings.com/blogs/secondhandsmoke/2009/07/29/obamacare-mandatory-counseling-provision-really-a-pay-the-provider-provision/">as I suggested in this post.



TOPICS: Government; Health/Medicine; Politics; Society
KEYWORDS: 111th; bho44; bhohealthcare; deathcare; democrats; euthanasia; grimreaper; healthcare; hitlerish; liberalfascism; moralabsolutes; obamacare; obamadeathcamps; prolife; socialism; socializedmedicine
The lexicon of the document is far from neutral and presumes that people will not want their lives sustained if they are in a dependent state. If one disagrees with these default positions, the signer must take action:

If you do not agree with one or the other of the above statements, draw a line through the statement and put your initials at the end of the line.

In other words, the presumption is DEATH and proactive measures must be taken by those who want to live.

1 posted on 08/02/2009 9:50:10 AM PDT by wagglebee
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To: cgk; Coleus; cpforlife.org; narses; Salvation; 8mmMauser

Pro-Life Ping


2 posted on 08/02/2009 9:50:53 AM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: 185JHP; 230FMJ; 50mm; 69ConvertibleFirebird; Albion Wilde; Aleighanne; Alexander Rubin; ...
Moral Absolutes Ping!

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3 posted on 08/02/2009 9:51:42 AM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: wagglebee
this is so like the times under hitler. Except this master race would be homogenized.
4 posted on 08/02/2009 9:53:55 AM PDT by bareford101 (As Lenin said about socialism, "THE GOAL OF SOCIALISM IS COMMUNISM.")
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To: wagglebee

So will Dr. Kevorkian be the End of Life Counseling Czar?


5 posted on 08/02/2009 9:55:14 AM PDT by shalom aleichem
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To: wagglebee

We see it for what it is..God see’s what’s in the hearts of those who would propose this.
Wouldn’t want to be them.


6 posted on 08/02/2009 9:55:22 AM PDT by two23
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To: wagglebee

Government — STAY OUT OF MY LIFE!!!!!!!!!!


7 posted on 08/02/2009 9:55:50 AM PDT by whitedog57
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To: whitedog57

Darth Vader will “persuade” the junior officer to step into an airlock and hit the “eject” button.


8 posted on 08/02/2009 9:58:09 AM PDT by ak267
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To: wagglebee

Aren’t the supporters of this the same people who say pre-abortion counseling is coersion?


9 posted on 08/02/2009 10:00:11 AM PDT by Clintonfatigued (Liberal sacred cows make great hamburger)
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To: Clintonfatigued
Aren’t the supporters of this the same people who say pre-abortion counseling is coersion?

Yep, but they would be more than supportive of pregnancy counseling where it was presumed that a woman would kill her baby.

10 posted on 08/02/2009 10:02:03 AM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: whitedog57
Government — STAY OUT OF MY LIFE!!!!!!!!!!

EXACTLY...I don't give a cr** what they say, how they say it or who drops by to say it. Stay out of my life.

11 posted on 08/02/2009 10:02:13 AM PDT by justkate
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To: wagglebee
Exactly. This is just the kind of incremental encroachment the leftists love to use. First, an inoffensive little "voluntary" chat with your family doctor whom you know and trust...

Before long a "Quality of Life Counsellor" from your benevolent Ministry of Health shows up...wants to know,

"What is your problem that you have with your health care plan that made you raise objections? You want to continue your healthcare benefits don't you? Perhaps you really meant to be cooperative but just misunderstood...let's go over this again..."

12 posted on 08/02/2009 10:04:57 AM PDT by hinckley buzzard
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To: wagglebee
The D*mn bureaucrats will follow us to the grave. Eventually a bureaucrat will show up at each and every funeral and graveside service.

Of course the government agents will pressure old folks to die.

13 posted on 08/02/2009 10:07:11 AM PDT by AEMILIUS PAULUS (It is a shame that when these people give a riot)
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To: wagglebee

We need someone less emotional on the subject, to phrase a warning or admonition that we can give our Doctors, against even considering bringing up the subject.

My responses to this “duty to die” all revolve around “You first”!


14 posted on 08/02/2009 10:12:05 AM PDT by G Larry ( Obamacare=Dying in Line!)
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To: hinckley buzzard
Perhaps you really meant to be cooperative but just misunderstood...let's go over this again..."

Yep, it would be your word against his word.....

.....Except that you would be dead and can't tell the world the "Councellor" is a back stabbing government paid killer.

15 posted on 08/02/2009 10:13:10 AM PDT by SteamShovel (When hope trumps reality, there is no hope at all.)
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To: wagglebee

Wags,

I have already seen this used. On close relatives.

The question is now institutionalizing it, for “these things must be done delicately.” (Wicked witch of the west in “The Wizard of Oz”)


16 posted on 08/02/2009 10:13:50 AM PDT by combat_boots (The Lion of Judah cometh. Hallelujah. Gloria Patri, Fili et Spiritus Sancti.)
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To: bareford101
No, just the natives penalized at expense of imports (illegal aliens get it free and don't have to pay penalties for lack of "insurance") ObamaCare Jokes Obama Jokes
17 posted on 08/02/2009 10:17:47 AM PDT by tbw2 (Freeper sci-fi - "Humanity's Edge" - on amazon.com)
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To: wagglebee

I’d like to see them try that “counseling” on my grandfather. The counselors would be running back to their cars with buckshot chasing them.


18 posted on 08/02/2009 10:19:25 AM PDT by gitmo (History books will read that Lincoln freed the slaves and Obama enslaved the free.)
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To: tbw2
He Cares for all natives..... Photobucket
19 posted on 08/02/2009 10:19:28 AM PDT by Jeffrey_D. (veritas odium parit)
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To: wagglebee

Mark for later.


20 posted on 08/02/2009 10:23:23 AM PDT by SweetCaroline (Dear GOD help us save your babies from the Abortionist.)
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To: wagglebee

Government ‘counseling’ becoming ‘Persuasion’???

Here? In America???

Unheard of!

This is right-wing extremist fear-mongering, I tell ya! ;-)


21 posted on 08/02/2009 10:23:34 AM PDT by J40000
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To: Clintonfatigued

“Aren’t the supporters of this the same people who say pre-abortion counseling is coersion?”

They are indeed.


22 posted on 08/02/2009 10:37:56 AM PDT by ought-six ( Multiculturalism is national suicide, and political correctness is the cyanide capsule.)
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To: wagglebee

We all have a condition whereby we will die soon.


23 posted on 08/02/2009 10:41:40 AM PDT by 9YearLurker
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To: wagglebee

I’m sure some of the females at the “Center for Practical Bioethic” who helped write this also carried around copies of “Our Bodies, Ourselves” 36 years ago while chanting “Keep your hands off my uterus!”


24 posted on 08/02/2009 11:24:50 AM PDT by LibFreeOrDie (Obama promised a gold mine, but he will give us the shaft.)
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To: wagglebee
Actual life-ending procedure per ObamaCare. (yeah, it looks nice but wait till your relative get the bill)

http://www.youtube.com/watch?v=WbJTBBoDFH0

25 posted on 08/02/2009 11:34:00 AM PDT by wolfcreek (KMTEXASA!)
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To: All
State controlled American media (SCAM) Headline?

Obama care to install self-service crematoriums in convenient stores
Make An Ash Of Yourself For America
Duty to die. Less costly than Gold for Geezers Plan

26 posted on 08/02/2009 12:12:44 PM PDT by WilliamofCarmichael (If modern America's Man on Horseback is out there, Get on the damn horse already!)
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To: All
Pinged from Terri Dailies


27 posted on 08/02/2009 12:49:58 PM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: wagglebee
Please Pray for the Unborn
 
Pray for an end of euthanasia and a conversion of America to a culture of life!
 
 

28 posted on 08/02/2009 6:28:39 PM PDT by Salvation (With God all things are possible.)
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To: wolfcreek

Possibly, except that instead of the nature scenes and light classical music that Sol got, the guest will more likely receive a valedictory message from Barack Obama.


29 posted on 08/02/2009 6:33:06 PM PDT by jmcenanly
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