Quote from bugscoe:
Now go look up section 1233
As Congress has left for their August recess, legislative pressure and speculation have been sprouting up and around the Health Care Bill, a key component of President Barack Obamaâs campaign platform. However, as it is a large and expansive bill, there has been a lot of room for nit-picking, skepticism and general confusion, which conservative legislators, pundits and special interest groups have been zeroing in on. The current point of contention is Section 1233, a section of the proposed health care bill that focuses on end of life matters.
Republicans have been pointing toward this section, claiming it to be a mandate for government directed euthanasia, in which so called government âDeath Panelsâ will have the power to end the life of your beloved grandma or grandpa. Democrats, on the other hand, have dismissed the criticism as untrue, hyperbolic and a distortion of the fact. That leaves we the public to figure out whoâs telling the truth and whoâs not and whatâs really at stake.
So letâs look at the issue. First up, what is Section 1233? Susan Larson, a registered nurse at the Mayo Clinic, responds in the Post Bulletin saying, âIn regard to Section 1233 of the proposed health care bill, medical caregivers are instructed to have discussions with seniors about their end-of-life care, at least every five years, or yearly if the medical condition of the patient makes significant changes or they develop a chronic illness.â This means, that doctors will talk to their patients about end-of-life issues such as end of life directives and living wills. That is, the patient is given the choice as to how there last days will be spent, before their last days are upon them and they are no longer in a state to answer for themselves.
If the patient wants all the medical treatment they can receive, then thatâs what they get. However, if they donât want to rack up bills for their relatives, they can also choose to forgo expensive treatments, that are less likely to be effective. For example, expensive surgeries that may expand a patientâs life by a few weeks. Some patients would want them anyway, some would not. With Section 1233, the patient is given these options and then able to make the choice that they want.
Pulled from an interview with Republican Senator Johnny Isakson by Ezra Klein from the Washington Post, the Georgia legislator notes that a large chunk of health care costs come during the last sixty days of life. What this bill does, is direct doctors to give patients a counseling session to help bring awareness to their end-of-life options.
He also notes that the counseling is voluntary, and patients can opt out if they so wish. As to the euthanasia claims?
âHow someone could take an end of life directive or a living will as [euthanasia] is nuts. Youâre putting the authority in the individual rather than the government. I donât know how that got so mixed up.â