Comments on: Healthcare Reform’s Now Infamous Section 1233 http://morewhat.com/wordpress/healthcare-reforms-now-infamous-section-1233/ To build consensus on issues Tue, 22 May 2012 18:19:33 +0000 http://wordpress.org/?v=2.0.3 by: Stanford Matthews http://morewhat.com/wordpress/healthcare-reforms-now-infamous-section-1233/#comment-21473 Wed, 12 Aug 2009 03:30:58 +0000 http://morewhat.com/wordpress/healthcare-reforms-now-infamous-section-1233/#comment-21473 Thanks Maggie, I'm withholding comment at least until this is not the most recent post on the blog. As indicated in the 'preface' I don't want to chance influencing other comments. As always, thanks for stoppin' in and contributing. Thanks Maggie, I’m withholding comment at least until this is not the most recent post on the blog. As indicated in the ‘preface’ I don’t want to chance influencing other comments.

As always, thanks for stoppin’ in and contributing.

]]> by: Maggie Thornton http://morewhat.com/wordpress/healthcare-reforms-now-infamous-section-1233/#comment-21472 Wed, 12 Aug 2009 03:20:22 +0000 http://morewhat.com/wordpress/healthcare-reforms-now-infamous-section-1233/#comment-21472 I've read thorough this. I'll have to do it again. In the meantime, some fine comments from FaultlineUSA's column on this: http://faultlineusa.blogspot.com/2009/08/you-and-new-advanced-care-planning.html Of the "every 5 year" requirement: <i>...the Democratic proponents of this bill have been quick point out that there is no “mandatory” language in this deliberately vague bill, but when Republicans in Congress asked for the addition of the word “voluntary” to be added, the Democratic majority refused. “Mandatory” also implies that failure to comply will result in some penalty, or loss of benefit. Today, the strong possibility of eventual health care rationing leaves seniors with little protection when it comes to the desire to obtain medical or surgical treatment that might be denied due to advanced age or other conditions. This bill does allow for an order regarding life sustaining treatment, but that would most likely be subject to other conditions and myriad rules and regulations that have yet to be written.</i> The article goes on to talk about the bureaucracy that will be created: <i>Under this bill the Advanced Care Planning consultation must be with a “practitioner.” On p. 428, the “practitioner” is defined as a physician, nurse practitioner, or a physician’s assistant. With the current U.S. population of residents over the age of 65 at around 13%, and a projected 65+ population over 25% in the next 40 years, those “practitioner” consultations every 5 years, or “more frequently,” will take a huge bite out of the entire health care budget! By the time this bill has been translated into innumerable rules and regulations governed by numerous federal and state agencies, it is doubtful that the physician “practitioner” will have much direct patient contact but merely oversight, and the actual task of patient contact will fall to someone much lower on the pay scale. </i> After pointing out "many public and private "state holders," are sanctioned to be a part of this, Faultline asks: do you really believe that Advanced Care Planning will be voluntary for long? My take is this, the government has no business even thinking about my end of life issues. They should not offer to help me do advance planning. If I want to do so, and I already have, there are many, many avenues for everyone to do so. There is nothing good for citizens ,in the government having any say about anything when it comes to advance planning and end of life - for anyone. It is unthinkable that it is even being discussed, let along "down on paper." I’ve read thorough this. I’ll have to do it again. In the meantime, some fine comments from FaultlineUSA’s column on this:

http://faultlineusa.blogspot.com/2009/08/you-and-new-advanced-care-planning.html

Of the “every 5 year” requirement:

…the Democratic proponents of this bill have been quick point out that there is no “mandatory” language in this deliberately vague bill, but when Republicans in Congress asked for the addition of the word “voluntary” to be added, the Democratic majority refused.

“Mandatory” also implies that failure to comply will result in some penalty, or loss of benefit.

Today, the strong possibility of eventual health care rationing leaves seniors with little protection when it comes to the desire to obtain medical or surgical treatment that might be denied due to advanced age or other conditions. This bill does allow for an order regarding life sustaining treatment, but that would most likely be subject to other conditions and myriad rules and regulations that have yet to be written.

The article goes on to talk about the bureaucracy that will be created:

Under this bill the Advanced Care Planning consultation must be with a “practitioner.” On p. 428, the “practitioner” is defined as a physician, nurse practitioner, or a physician’s assistant.

With the current U.S. population of residents over the age of 65 at around 13%, and a projected 65+ population over 25% in the next 40 years, those “practitioner” consultations every 5 years, or “more frequently,” will take a huge bite out of the entire health care budget!

By the time this bill has been translated into innumerable rules and regulations governed by numerous federal and state agencies, it is doubtful that the physician “practitioner” will have much direct patient contact but merely oversight, and the actual task of patient contact will fall to someone much lower on the pay scale.

After pointing out “many public and private “state holders,” are sanctioned to be a part of this, Faultline asks: do you really believe that Advanced Care Planning will be voluntary for long?

My take is this, the government has no business even thinking about my end of life issues. They should not offer to help me do advance planning. If I want to do so, and I already have, there are many, many avenues for everyone to do so.

There is nothing good for citizens ,in the government having any say about anything when it comes to advance planning and end of life - for anyone. It is unthinkable that it is even being discussed, let along “down on paper.”

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