Tell me about it...
Don Berwick, newly proclaimed hero of the LCP Red Guards!
Don Berwick, newly acclaimed saviour of the NHS!
The Patient Protection and Affordable Care Act decides who gets life-saving treatment and who does not. As over here, doctors will be advising elderly patients and counselling them to see the glass half empty and not the glass half full; to downsize their options and not expect expensive curative treatments. “Hello, EoLC…!”
Don Berwick, the said Director and administrator of Medicare and Medicaid Services, was responsible for a policy to pay doctors who advise patients on end-of-life care, and advance directives. This had been dropped from the Healthcare Reform Bill, should there be claims that it would encourage euthanasia.
This is changing. Ten health systems across the country have joined the Conversation Project since it launched in August 2012, pledging to be “conversation-ready” for patients and families by implementing systems to help prompt the talks and document expressed preferences.
Medicare doctors will make yearly medical “wellness” visits. Medicare will compensate doctors for discussing “voluntary advance care planning” and EoLC.
Effectively, they’ll be looking for their ‘one percent’.
American Medical News reports -
The EoLC inquisition US-style -
The EoLC inquisition UK-style -
End of life care: What to discuss
In my humble experience, people aren't 'afraid' to talk about death - it's something that's going to happen to us all sooner or later - but death isn't exactly the high point of life, though it might be the culminating point.
Such a point would be the heroic death in a brave attempt to save another's life; the self-sacrificial death of the martyr, such as Jan Palach who immolated himself in Wenceslas Square before the Russian tanks. I use the word in its proper context here; those who make themselves into human bombs to make havoc, mayhem and death are not martyrs.
So, what are these LCP Red Brigadiers talking about? Dying matters, let's talk about it...?
And these are some pretty odd questions to bring up in talking about dying...
"Are there important milestones you'd like to meet if possible (For example: the birth of your grandchild or your 80th birthday.)?"
Hello - well, yes, you'd think so, wouldn't you? I'd like to; it just depends on how the cards are dealt (he shrugs nonchalantly).
Unless some croupier has stacked the deck by preventing access to curative care...? What they're really talking about is downsizing expectations, and giving you a helpful shunt into the next world. And getting you to agree to it.
This is grooming.
Don Berwick has stated clearly and categorically that it is not a matter of whether healthcare is going to be rationed but that it will have to be rationed "eyes open" via his and cohort Zak's Communitarian health policies.
This rule will lead, inexorably, to bureaucrats drafting guidelines as to who is “fit” to live and who is not. That isn't so alarmist as it sounds when you consider that Peter Singer was appointed the Ira W. DeCamp Professor of Bioethics at
There were “death panels” in Nazi
Well, maybe not death panels but, sort of...
This is The New York Times -
"WE need death panels.
Well, maybe not death panels, exactly, but unless we start allocating health care resources more prudently — rationing, by its proper name — the exploding cost of Medicare will swamp the federal budget...
No one wants to lose an ageing parent. And with price out of the equation, it’s natural for patients and their families to try every treatment, regardless of expense or efficacy. But that imposes an enormous societal cost that few other nations have been willing to bear. Many countries whose health care systems are regularly extolled — including Canada, Australia and New Zealand — have systems for rationing care."
[Beyond Obamacare By Steven Rattner (A top Democrat strategist and donor who served as President Obama’s lead auto-industry adviser and as a counselor to the Treasury secretary in the Obama administration.]
The 'enormous societal cost' is something that simply cannot be borne so, come on now, the State expects everyone to do their duty - and die.
Interesting footnote: Ellershaw cites Berwick in his paper on the LCP here.