I was also looking for the “mandatory” part, but did not find it. Perhaps it’s indicated earlier in the document.
What disturbs me the most about this kind of counseling - even if it’s not mandatory, but, say, provided for “free” on an opt-in basis, is the actual content of said counseling. i.e., will these counselors be pushing people over 65 to consider “costs” of various treatments? e.g., will they be hard-selling grandma on the exorbitant cost of getting cancer treatment as a senior citizen and recommending she choose to reject such treatments? If the Peter Singer QALY index becomes a guidepost for such counselors, will our senior citizens become collectively (if even gently) pushed towards allowing their own lives to expire out of economic consideration to younger, “more deserving” and “more economically productive” generations?
With the current administration record against the sanctity of life, I find such gov’t sponsored counseling - mandatory or not - to be rife with insidious, potentially nefarious possibilities.