The following comes from a November 1 Economic Policy Journal article by RW:
The federal government is about to pay doctors who speak with patients about the type of medical care they want when they are “near death.”
The rule announced on Friday by the Centers for Medicare and Medicaid service will reimburse, starting January 1, 2016, healthcare providers if they have conversations with Medicare patients about advance planning–also known as end-of-life discussions, reports The Wall Street Journal.
Make no mistake about it, this is about cutting the cost for the government of patient care.
Notes The Wall Street Journal:
It is a delicate issue, however, because end-of-life discussions also are likely to lower health-care spending—which could lead to claims the conversations are a way to limit treatment or care.
I have had discussions with senior executives of healthcare firms who tell me that this will be a means to cut off treatment for many who will be deemed unlikely to live, but of which a percentage (approx. 10%) would likely survive their illnesses.
They say what will happen is an attractive girl trained in these “advance planning” talks will come in with slick brochures showing pictures of people in horrific states and saying to a patient, “Do you want to live in this state and burden your family?,” when in fact the patient is being asked to sign-off on the cutting-off of treatment at a point unlikely to be anywhere near the state portrayed in the brochure picture.
I am positive this is already happening. A friend in his late 80’s was referred for a heart test; the referring doctor told him that if he were 90 it would be against Obamacare to refer him for any kind of intervention, including tests. And she could be prosecuted and lose her medical license! The best way to protect ourselves from this demonic system is to have an advocate who will speak up for us when we can no longer speak for ourselves. Be someone’s advocate, his or her “advanced directive,” in writing, of course, but personally present to the patient when this is proposed.
Catholics need to talk about dying well and should prepare well-formed consciences to engage in the discussion armed with Catholic ethical guidelines. Conversation is needed between patient, physician, priest, and family before the end of life to determine appropiate and moral levels of intervention as the patient wishes. We plan vacations, weddings, and even how we birth our children. Death is more guaranteed than any of these events-why wouldn’t we plan? Everyone should prepare for dying well but we must drive the conversation. Our Catholic medical office recommends reading Dr. Atul Gawande’s “Being Mortal” for insight on what end-of-life discussions could look like, how they are difficult for everyone, and why they are necessary.
If anyone gets a hold of these pamphlets and materials that have been given to the very sick, there should be immediate response from family and friends. I recall my brother telling me when his very ill mother-in-law in Oregon was considered beyond medical help, treatment stopped and the home/hospital would send in a harpist! to play music. My brother pulled her out of that place and she still survives 6 years later. We must witness to the pamphlets, the coercive talk, the sugary deceits and go public the way we do prayer outside of abortion mills.
Soft-spoken Republican candidate and retired neurosurgeon Dr. Ben Carson also urges the conversation forward about when to end life, and when to stop offering, for example, quadruple bypasses to 85-year-olds.
Soylent Green wasn’t so much a movie as a peek into our immediate future in the Age of the Worship of Youth. Wait a minute, they are murdering babies now too, legally . . . how old do we have to be before they promise not to kill us at conception and murder us in our dotages? If you are not young, fit, gorgeous and useful, buy life insurance for your loved ones, quickly. I hear the Roman soldiers knocking at the door as we speak.
It is imperative that this topic be brought out into the open to Catholics of all ages; those who are approaching the age where the government considers them no longer “useful” and those who care for them. The best preparation for discussion of this nature can be found in the information given at the Healing the Culture website. the organization was founded by Fr. Robt Spitzer and is reassuring of the Catholic view on illness and dying. A 1quick google will bring it up.
Especially avoid the push to sign a directive called POLST orders. These forms are common in most facilities now, both hospitals and care facilities. Do not sign or have loved ones sign these directives. Find a Catholic form to use if you mus t have one; but better yet have a legally binding power of attorney signed for the person you choose to speak for you if you are unable to do so, making sure they understand the medical jargon that will be thrown at them.
visit the National Catholic Bioethics Center’s website for many informational position papers and downloadable information on end-of-life issues. These folks know their stuff.
Making the elderly feel guilty – to make them feel they are a burden on society.
This pushes them toward assisted suicide, permission for euthanasia, and a permanent trip to Hell.
IMPORTANT – – – Since Obama’s rule will go into effect in less than 60 days – —
Contact your Diocese Bishop so that he can post on his own Diocese web site, and each Parish web site – a “CATHOLIC DECLARATION on LIFE and DEATH” that is legally appropriate to your State.
Here is a good example from Florida – –
Each adult – regardless of age, must have one of these, and should give a copy to their Doctor for your file in his office.
CCC: ” 2277 Whatever its motives and means, direct euthanasia consists in putting an end to the lives of handicapped, sick, or dying persons. It is morally unacceptable.
Thus an act or OMISSION which, of itself or by intention, causes death in order to eliminate suffering constitutes a murder gravely contrary to the dignity of the human person and to the respect due to the living God, his Creator.
The error of judgment into which one can fall in good faith does not change the nature of this murderous act, which must always be forbidden and excluded. ”
See the CCC for further information including that of palliative care.
Very recently I conducted a funeral for a devout parishioner who had spent his last days at home with hospice help. This was a couple weeks after Governor Brown signed the assisted suicide/homicide bill. Wouldn’t you know the hospice provided “death pills” for the family’s use? I don’t know what happened to the two-doctor provision of the law, perhaps some doctors in the hospice’s employ signed off on the medication without even bothering to visit the patient. The family hid the pills away in the medicine cabinet. At this point, the slippery slope is so steep that the liars on the Left barely even need to create cover stories.
We are living in the fifth century Roman Empire. Corruption is everywhere and the whole rotten…
Father Michael, this is shocking, horrifying, and I would venture to say no doubt illegal . . . for the moment. Thank you for bringing this to light.
We finally are starting a discussion about death. Most of the horror stories about misguided efforts to stop life are the exception. No family should be without a set of legally prepared directives for health care or not have a legally binding power-of-attorney to ensure that its wishes are carried out. The real problem is that young families don’t have these documents. Generally your doctor should have the documents on file as well as the hospital and nursing homes. Many won’t let you in without them. What we don’t need, for the sake of the patient, is a bunch of family members arguing and overturning the parent’s wishes. I know few people who want the tubes and machines hooked up beyond a reasonable time. Many don’t want…
Let me suggest a web site for your review and action planning. It is neither liberal or conservative politically or religion wise: https://theconversationproject.org/. It will help all of us start the discussion with our families about end-of-life matters. Most of us have not told our kids about our wishes and expectations. Before we die would be a good time to start!
No Bob One. Never trust the Soul of anyone to a secular organization.
Every Catholic should first read paragraphs CCC # 2276 – 2279.
Then get an “Advanced Medical Directive” form from their Diocese. After filling out and notarizing – give a copy to each of their adult children, and to their Doctor for the Doctor’s file.
Here is a Directive from the LA Diocese that can be used throughout CA.https://www.la-archdiocese.org/org/oljp/life/Documents/2014_Advance_Health_Care_Directive_EN.pdf
Ted, I reviewed the link you provided and the information is very good and consistent with normal directives. Once it has been filled out, and notarized, the person should then begin a conversation with their kids, if they have them, so that they know what is expected and wished for. I see no disagreement here.
f got the directive that the American Life League puts out and used it. It is called “The Loving Will” and can be gotten for a nominal fee. I had it signed by some pro life friends who are non involved in my healthcare and had it notarized. It includes the power of attorney over my healthcare by a family member when I am incapable. I also put the exact same instructions on the directive that my healthcare provider has given me..