Does the Obama Health-care bill really say I will be expected to end my life as I age?

SEC. 1233. ADVANCE CARE PLANNING CONSULTATION.

16 (a) MEDICARE.—

17 (1) IN GENERAL.—Section 1861 of the Social

18 Security Act (42 U.S.C. 1395x) is amended—

19 (A) in subsection (s)(2)—

20 (i) by striking ‘‘and’’ at the end of

21 subparagraph (DD);

22 (ii) by adding ‘‘and’’ at the end of

23 subparagraph (EE); and

24 (iii) by adding at the end the fol25

lowing new subparagraph:

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July 14, 2009 (12:51 p.m.)

F:\P11\NHI\TRICOMM\AAHCA09_001.XML

f:\VHLC\071409\071409.140.xml (444390|2)

425

1 ‘‘(FF) advance care planning consultation (as

2 defined in subsection (hhh)(1));’’; and

3 (B) by adding at the end the following new

4 subsection:

5 ‘‘Advance Care Planning Consultation

6 ‘‘(hhh)(1) Subject to paragraphs (3) and (4), the

7 term ‘advance care planning consultation’ means a con8

sultation between the individual and a practitioner de9

scribed in paragraph (2) regarding advance care planning,

10 if, subject to paragraph (3), the individual involved has

11 not had such a consultation within the last 5 years. Such

12 consultation shall include the following:

13 ‘‘(A) An explanation by the practitioner of ad14

vance care planning, including key questions and

15 considerations, important steps, and suggested peo16

ple to talk to.

17 ‘‘(B) An explanation by the practitioner of ad18

vance directives, including living wills and durable

19 powers of attorney, and their uses.

20 ‘‘(C) An explanation by the practitioner of the

21 role and responsibilities of a health care proxy.

22 ‘‘(D) The provision by the practitioner of a list

23 of national and State-specific resources to assist con24

sumers and their families with advance care plan25

ning, including the national toll-free hotline, the ad-

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Please read this, and quit believing any crazy, unsupported crapp that comes your way in an email. Go to the source, it's basic critical thinking.

1

No. It will make you have those sessions, and given that half a trillion is being cut from already insolvent medicare and the standard for care is being lowered to 'cost effective' treatment, and given the rationing of health care for the elderly in other countries with similar concerns, and the support for such rationing in the writings of those like Emmanuel's brother who have been brought on as experts, it is pretty certain there will be rationing of what care it is 'worth' giving elderly people, however. Obviously, if you aren't able to get quality of life care such as a hip replacement after 75, even if you might otherwise live to be a hundred, when you are faced with end of life decisions, life might well be less worth living, for many.

Fred Thompson should know. He was dead for years before being reanimated in Mary Matalin's secret laboratory.

Counseling on living wills, hospice, etc. is voluntary, available if the patient wants it. Sorry if it offends you, but some people prefer to die peacefully in their own home instead of in a hospital connected to machines. It might be an earlier death, maybe not, but it sure is a lot more comfortable.

Just read page 425 from section 1233 of the Health Care Bill H.R. 3200.

I'm so sick of rabble rousing conservatives I could puke!

Read the GODDAMN bill!!!

5 SEC. 1233. ADVANCE CARE PLANNING CONSULTATION.

6 (a) MEDICARE.—

7 (1) IN GENERAL.—Section 1861 of the Social

8 Security Act (42 U.S.C. 1395x) is amended—

9 (A) in subsection (s)(2)—

10 (i) by striking ‘‘and’’ at the end of

11 subparagraph (DD);

12 (ii) by adding ‘‘and’’ at the end of

13 subparagraph (EE); and

14 (iii) by adding at the end the fol

15 lowing new subparagraph:

16 ‘‘(FF) advance care planning consultation (as

17 defined in subsection (hhh)(1));’’; and

18 (B) by adding at the end the following new

19 subsection:

20 ‘‘Advance Care Planning Consultation

21 ‘‘(hhh)(1) Subject to paragraphs (3) and (4), the

22 term ‘advance care planning consultation’ means a con23

sultation between the individual and a practitioner de24

scribed in paragraph (2) regarding advance care planning,

25 if, subject to paragraph (3), the individual involved has

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425

•HR 3200 IH

1 not had such a consultation within the last 5 years. Such

2 consultation shall include the following:

3 ‘‘(A) An explanation by the practitioner of ad4

vance care planning, including key questions and

5 considerations, important steps, and suggested peo6

ple to talk to.

7 ‘‘(B) An explanation by the practitioner of ad8

vance directives, including living wills and durable

9 powers of attorney, and their uses.

10 ‘‘(C) An explanation by the practitioner of the

11 role and responsibilities of a health care proxy.

12 ‘‘(D) The provision by the practitioner of a list

13 of national and State-specific resources to assist con14

sumers and their families with advance care plan15

ning, including the national toll-free hotline, the ad16

vance care planning clearinghouses, and State legal

17 service organizations (including those funded

18 through the Older Americans Act of 1965).

19 ‘‘(E) An explanation by the practitioner of the

20 continuum of end-of-life services and supports avail21

able, including palliative care and hospice, and bene22

fits for such services and supports that are available

23 under this title.

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426

•HR 3200 IH

1 ‘‘(F)(i) Subject to clause (ii), an explanation of

2 orders regarding life sustaining treatment or similar

3 orders, which shall include—

4 ‘‘(I) the reasons why the development of

5 such an order is beneficial to the individual and

6 the individual’s family and the reasons why

7 such an order should be updated periodically as

8 the health of the individual changes;

9 ‘‘(II) the information needed for an indi10

vidual or legal surrogate to make informed deci11

sions regarding the completion of such an

12 order; and

13 ‘‘(III) the identification of resources that

14 an individual may use to determine the require15

ments of the State in which such individual re16

sides so that the treatment wishes of that indi17

vidual will be carried out if the individual is un18

able to communicate those wishes, including re19

quirements regarding the designation of a sur20

rogate decisionmaker (also known as a health

21 care proxy).

22 ‘‘(ii) The Secretary shall limit the requirement

23 for explanations under clause (i) to consultations

24 furnished in a State—

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427

•HR 3200 IH

1 ‘‘(I) in which all legal barriers have been

2 addressed for enabling orders for life sustaining

3 treatment to constitute a set of medical orders

4 respected across all care settings; and

5 ‘‘(II) that has in effect a program for or6

ders for life sustaining treatment described in

7 clause (iii).

8 ‘‘(iii) A program for orders for life sustaining

9 treatment for a States described in this clause is a

10 program that—

11 ‘‘(I) ensures such orders are standardized

12 and uniquely identifiable throughout the State;

13 ‘‘(II) distributes or makes accessible such

14 orders to physicians and other health profes15

sionals that (acting within the scope of the pro16

fessional’s authority under State law) may sign

17 orders for life sustaining treatment;

18 ‘‘(III) provides training for health care

19 professionals across the continuum of care

20 about the goals and use of orders for life sus21

taining treatment; and

22 ‘‘(IV) is guided by a coalition of stake23

holders includes representatives from emergency

24 medical services, emergency department physi25

cians or nurses, state long-term care associa-

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I am a retired disabled Detective who was injured on duty and is confined primarily to a wheelchair. As a result I am on Medicare at the age of 60. I can't wait until Obama is old enough to receive his Medicare counseling .

No. THat is just more hate and fear mongering by Republicans.

Tell your sister to stop passing on email spam as legitimate facts.

No. But when the end of your life does come, you have the choice of talking with a counselor. I have read the bill, and that is what it says.

Your sister is lying to you. Find a better source for information. Perhaps wikipedia can help?

You are not supposed to read any of 0bamas legislation until after it is passed. You may be nearing your expiration date for daring to question his will