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 By
murphyj87 @
Saturday, September 05, 2009 9:20 AM
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The point is that government payment does not equal government control. If physicians are not reimbursed, the consultation may not be able to take place. Your erroneus assumption is that you confuse government payment with government control and the two are totally different.
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By
Anonymous @
Thursday, August 20, 2009 11:58 PM
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I BELIEVE THAT IF THIS INSURANCE PROGRAM IS SO GOOD THAT THE HOUSE AND SENATE SHOULD TRY IT OUT FIRST AND GET EVERYTHING THAT NEEDS TO BE FIXED(FIXED} AND PASS IT ON TO ALL OF US TO ENJOY AS THEY ENJOY HAVING THE INSURANCE THEY HAVE NOW AVAILABLE TO THEMSELVES. IBELIEVE WHAT'S FAIR FOR THEM IS FAIR FOR US. IF THEY CAN'T DO THAT THEN THEY SHOULD HAVE THE INSURANCE THEY NOW HAVE GIVEN TO US.
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By
Anonymous @
Wednesday, August 19, 2009 11:46 AM
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I agree 100%. If we have government involved in any way we will lhave rationing. In Holland Cathollic nuns who had clearly directed that they were not to be euthanized, were euthanized anyway "because we needed the bed"
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By
Anonymous @
Wednesday, August 19, 2009 8:50 AM
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Go Newt, Go !. . . . . Newt for Pres, 2010 !
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By
Anonymous @
Wednesday, August 19, 2009 8:48 AM
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As a Hospice Chaplain and Social Worker I am familiar with Gunderson Lutheran and their Advanced Care Program and I commend them for what they are doing in this area of care.
I also agree that any type of Government Program dealing with End-of-Life Care is inappropriate and clearly outside the scope of Government.
However, the failure of a significant majority of Americans to have a comprehensive Advanced Directive is a major problem in this country.
By Advanced Directive, I mean at a minimum a "Medical Power of Attorney" or Health Care Proxy, a "Directive to Physicians, Family or Surrogates" sometimes called a Living Will, a Mental Health Directive, and in some cases an "Out of Hospital Do Not Resuscitate Order" or DNR.
This Advanced Directive Package is something that takes time to execute and some of the forms can be confusing to fill out, which is why trying to fill them out at the time of one's last critical illness, when emotions are running high, is so inappropriate and with a truly "Advanced Care Planning Option", unnecessary.
One of the crucial problems I hear from many physicians is that there is no provision under most if not all Health Insurance plans and Medicare for them to bill for the time necessary for consultation with patients and families about their End-of-Life wishes.
This one provision alone could save patient's, their families, and those charged with the responsibility for their care, heartache, confusion and misallocated resources as the end of life approaches.
If Medicare would make a provision for reimbursement for End-of-Life Care planning, I would think that Private Insurance would follow that lead. But until then we will continue to see programs like Gunderson Lutheran as the rare exception and not the rule.
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