Thanks to Mark Levin for his plain-language critique last week of the proposed CMS payment codes for (endless) end-of-life conversations. Levin speaks for many elderly, sick and vulnerable patients and their families who are being pressured into “letting go,” and this even without government-paid end-of-life talks.
In case you missed it, this was Chris Dawe last year, shortly after he left the Obama administration, and before he joined Evolent Health — a consulting company founded by the Advisory Board and the Univ. of Pittsburgh Health Plan “to help health systems move towards providing value-based care.” (Advisory Board, which consults for C-TAC, was founded by David Bradley, now Chairman of Atlantic Media.)
Last month the National Catholic Bioethics Center posted an article that was meant to guide Catholic clinicians on what to do when a patient or proxy or government requests treatment that the clinician considers to be morally wrong [“Transfer of Care vs. Referral: A Crucial Moral Distinction”]
The subject is important and timely, and I looked forward to reading the piece, but unfortunately it misses the mark when it comes to issues where withholding/withdrawing treatment and palliative care would be involved. Continue reading
Just a quick nota bene that the current edition of Generations — the journal for the American Society on Aging (ASA) — is posted on ASA’s blog courtesy of funding from Compassion & Choices (the present incarnation of the old Hemlock Society) and the Robert Wood Johnson Foundation.
Ezekiel Emanuel is taking his I-Hope-To-Die-at-75 road show to Switzerland at the invitation of the University of Geneva, where he will be speaking today.
I am opposed to euthanasia and assisted suicide. I feel that people who want that recourse mainly suffer from depression and fear of losing their dignity; we must first provide them with care and compassion. I will not put an end to my life intentionally. But I will not try to prolong it either! From age 75, I will accept neither predictive tests nor care – except for palliative care that reduces pain. I’ll do no more cardiac tests. I will not take more antibiotics and I will not be vaccinated against the flu. If I have cancer, I will refuse any treatment.