Off-Topic: No Death Panels
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Name:
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Yankee06
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Subject:
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No Death Panels
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Date:
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8/17/2009 2:51:49 AM
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Justaguy,
-Sorry I wasn't clear in above posts , --too much ready of HR3200 legalese mumbo jumbo
-You asked in above post: " So are you saying that the bill does indeed call for "death panels"? Or are you refuting that the bill calls for "death panels"?"
-What I had tried to say was:
--1) that page 425 doesn't discuss death panels. That the term "death panels" has just in the last week or two been associated with page 425, probably asa result of teh Palin comment. Page 425 talks about end-of-life government consultations. Those that oppose these consultations say that these consultations are "mandatory" , but they shouldn't be, ... and that these government people will try to direct the elderly away from costly life-extending procedures in favor of hospice services, --in order to save the government money. Peole who suppor these consultations, per page 425, say that these consultations are "voluntary" and that the counsultants will talk about all options and not try to force any options. The present HR3200 wording would lead to a legal assessment that the visits are "mandatory" because the present wording does not in any way qualify through adjectives or phrases these consultations. Thus if the congress wants them to be voluntary then they must use some kind of limiting terminology like the word "voluntary"
-2)Now, the term death panels: The term death panels has been used by many Brits as a derogatory reference to their health care commissions. Because these commissions determine who gets what health care and how much and at what cost. HR 3200 was taken much from the British heath care system, to include its concept of managing commissions and committees. HR3200 calls for a Heath Benefits Administration Committee. This committee will decide how HR3200 is really executed. If it follows teh Brit model it will focus on costs and eventually rationing. In England this has lead to what many say is a short changing of senior citizens and the severely disabled. Thus the term death panels,because many believe the health care commissions would rather see old and disabled people dead rather than using costly health resources. The proponents for HR3200 are referring to these commissions and committees as "service-effectiveness" or "benefit effectiveness" groups. Service- or benefit- or cost-effectiveness equalling "rationing" in my judgement.
-So, 1) HR3200 on page 425 calls for those over 65 to have a mandatory consultation every 5 years with a government representative on end-of-life issues. 2) HR3200 call for numerous "panels" whose responsibilities are to determine the cost-effectiveness of benefits and I believe eventually the rationing of these benefits in favor of those who still have much to contribute to society to the disadvantage of those who are too disabled or too old.
-Hope that clears some of the fog.
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