tag:blogger.com,1999:blog-11034229.post6182081963549984589..comments2023-07-14T02:53:40.719-07:00Comments on retired doc's thoughts: Who benefits from the world class ambiguity of section 1233 of House Health Care bill ?james gaultehttp://www.blogger.com/profile/05537303135780186926noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-11034229.post-86506731498746977972009-08-14T13:33:44.594-07:002009-08-14T13:33:44.594-07:00Sandy Szwarc has an excellent discussion of this s...Sandy Szwarc has an excellent discussion of this section with full text.<br />http://junkfoodscience.blogspot.com/2009/08/no-american-can-ever-say-they-didnt.htmlHal Dall, MDhttps://www.blogger.com/profile/03853309002983404637noreply@blogger.comtag:blogger.com,1999:blog-11034229.post-14781512647970015692009-08-14T12:01:12.403-07:002009-08-14T12:01:12.403-07:00I have to admit that up to now I had thought most ...I have to admit that up to now I had thought most of the discussion of "death panels" etc was hysteria.<br /><br />But then I read Dr RW's posts on the subject, and looked at the actual text of the bill. The items on "quality measures" for advanced care planning gave me pause.<br /><br />Advanced planning "orders for life-sustaining treatment" are generally only orders to restrict life-sustaining treatment. Patients who want maximally aggressive resuscitative and other life-sustaining treatments were a catastrophe to occur do not need advance planning orders to that effect. In the absence of advance planning orders, the expectation is to use all appropriate treatment, no matter how aggressive.<br /><br />A "quality measure" that tabulates the creation of such orders seems to imply that the government would regard less aggressive end of life care as better, in general. <br /><br />Maybe this was just badly, hastily written legislation, but it sure is worrisome.<br /><br />Good work picking this up!Roy M. Poses MDhttps://www.blogger.com/profile/00497209843184497847noreply@blogger.com