Home » Not quite “death panels”—but the slippery slope of palliative care policy

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Not quite “death panels”—but the slippery slope of palliative care policy — 15 Comments

  1. In 1998 my dad had a mild stroke. However, he was able to sit in a chair and feed himself. He had some swallowing problems that might have led to food escaping into his windpipe.

    The doctor’s solution? With no word to my dad, he issued a “nothing by mouth” order to let my dad fade away a la Schiavo.

    In 2001, while recovering from hip surgery, my mom became dehydrated and was hospitalized.
    She had “flash pulmonary edema” which filled her lungs with fluid, a lethal situation.

    The doc’s solution? Apparently “looking ahead”, he had issued an unauthorized DNR which meant that my mother was simply made “comfortable” instead of actions being take to reverse the edema.

    In both cases, my sister and I were able to quickly intervene and reverse the doctor’s orders.

    Patients without family or other advocates won’t be so fortunate.

  2. The whole problem with state run health care is that it looks upon the elderly as a liability instead of an asset. Just like with so many other things (including global warming – oh I forgot they are calling climate change these days) when they take the concept of a higher power out of the equation so many things are missed. Like how much we gain and learn from incredible amounts of experience embodied in older people. And how much we grow in a spiritual sense from the act of taking care of those who took care of us – in our own families and in the general sense that they fought and sacrificed to keep us free and protect our liberty (most of which has eroded). I am ashamed to be a member of the same human race as people who expound these views.

  3. Who was it that said “If you want to know the character of a person, just notice how they treat someone who can’t possibly do anything for them”.

  4. I think what bothers people the most, is that they expect someone to care about them as they leave this earth. I think it’s the caring that makes the difference. Nobody wants to die for a bureaucratic abstraction, we want some kind of transcendence, some kind of deep feeling and care. We want to believe that that our whole lives can’t be reduced to some simple accounting formula.
    I guess I’m trying to say that we want our lives to have meaning. I wish I could say it better,

  5. When Palin brilliantly coined the term “death panels” she was ridiculed not just by the left by the intellectuals of the right. Few ever went to her facebook page.

    Granted, this UK nightmare doesn’t rise to Ezekiel Emanuel’s soylent green “level of productivity in society” litmus. Nevertheless, it does throw some veracity on the claim that Obama’s enormous government apparatus actually “will basically pull the plug on grandma”.

  6. dane:

    Like how much we gain and learn from incredible amounts of experience embodied in older people.

    Maybe I’m just being paranoid, but I can’t shake the thought that those who wish to transform our society into something utterly alien are anxious to hustle off the stage those who have not undergone the indoctrination of our modern educational system.

  7. Denial of care is an issue for all emergency services.

    Right now in the US, emergency rooms are being financially squeezed by federal law that requires giving services to all comers, regardless of medical judgment, and without federal reimbursement. That is why an ER aspirin costs $10.

    It is a federal law (EMTALA) that forces emergency rooms to give full workups to everyone, including drug seekers who repeatedly make up symptoms. This drives costs way up. If government can’t deal with the costs of this current policy, then how will it change this policy?


    Begging for Medical Care

    The well-known actress Natasha Richardson was very unlucky. She hit her head in a minor ski fall. Montreal, Canada, does not have fast transportation to a full-service hospital, even near a ski area. Why not? Patients are a cost to the system.

    The bureaucracy sees you as a cost, especially if you have already paid. All people and organizations seek income and avoid costs. Socialized or centralized healthcare is paid up-front and delivers services after the fact.

    How hard will a system work to earn the money that they have already been paid? This is something that everyone can understand in his gut. A customer is lost without competition for his dollar.

  8. The economics of health care are unworkable unless patients have incentives to limit their own consumption. You will never fix the free-rider problem otherwise. The problems with health care cost are 1) that insurance is too generous and 2) government puts too much money into it. Giving more people more insurance and having the government spend even more money is to prescribe whiskey as a cure for alcoholism.

  9. N.I.C.E. begins to look as though it might more appropriately be known as N.A.S.T.Y. (National Agency to Stifle Terminal Yestermen).

  10. It surprised me that so many people took after the “Death Panel” issue to mean end-of-life counseling.

    A “death panel” suggests a board of people who denies care at some point when a patient is close to dying.

    That’s rationing.

    Who will do this? Not the doctor – the government will approval/disapprove of treatments based on certain thresholds.

    You’ll find this in any current ObamaCare bill.
    (You’ll also find it in insurance companies, but I’ve more freedom to control an insurance company than a gov’t.)

  11. Chris Says:

    “It surprised me that so many people took after the “Death Panel” issue to mean end-of-life counseling.”

    It was mostly a dishonest trick… strawman to avoid Palin’s argument. Many knew better and others chose to only read the partisan talking points that Palin was an idiot talking about the end of life chat stuff that really was not a big deal.

  12. Neo, you must stop doing this. Can’t we all get along? You will drive the moderates out of the party and they will all vote Democrat in the next election. Plus its racist. (sarc)

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