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July 18, 2009

Obama Is Dangerous For America and For Your Health

Dr. Betsy McCaughey

One of the many outrageous mandates in the health care bill that people need to know about.

**** Starting on Page 425 and continue on in Obama’s health care bill, the Federal Government will require EVERYONE who is on Social Security to undergo a counseling session every 5 years. ****

And HERE IS THE FULL TEXT of the Socialized Medicine PDF file

http://big.assets.huffingtonpost.com/AAHCA-BillText-071409.pdf

Just click on the PDF file, let it load and scroll down to page 425 and continue on from there regarding this topic.

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Betsy McCaughey is great about all of this about the bill. She actually reads these damnable socialized medicine bills. Says that cuts to seniors medical care is 1/2 of the cost of the bill. Every 5 years seniors required to be counseled on how to proceed with less care, less medical help or (?) end their life.

Betsy on Fred Thompson's radio show....PLEASE CLICK TO HEAR THE AUDIO.

PAGE 425 it begins........

SEC. 1233. ADVANCE CARE PLANNING CONSULTATION.

(a) MEDICARE.—

(1) IN GENERAL.—Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended—

(A) in subsection (s)(2)—

(i) by striking ‘’and’’ at the end of subparagraph (DD);
(ii) by adding ‘’and’’ at the end of subparagraph (EE); and
(iii) by adding at the end the following new subparagraph:

P. 425

‘’(FF) advance care planning consultation (as defined in subsection (hhh)(1));’’; and

(B) by adding at the end the following new subsection: ‘’Advance Care Planning Consultation ‘’(hhh)(1) Subject to paragraphs (3) and (4), the term ‘advance care planning consultation’ means a consultation between the individual and a practitioner described in paragraph (2) regarding advance care planning, if, subject to paragraph (3), the individual involved has not had such a consultation within the last 5 years. Such consultation shall include the following:

‘’(A) An explanation by the practitioner of advance care planning, including key questions and
considerations, important steps, and suggested people to talk to.

‘’(B) An explanation by the practitioner of advance directives, including living wills and durable powers of attorney, and their uses.

‘’(C) An explanation by the practitioner of the role and responsibilities of a health care proxy.

‘’(D) The provision by the practitioner of a list of national and State-specific resources to assist consumers and their families with advance care planning, including the national toll-free hotline, the ad-

P. 426

vance care planning clearinghouses, and State legal service organizations (including those funded through the Older Americans Act of 1965).

‘’(E) An explanation by the practitioner of the continuum of end-of-life services and supports available, including palliative care and hospice, and benefits for such services and supports that are available under this title.

‘’(F)(i) Subject to clause (ii), an explanation of orders regarding life sustaining treatment or similar orders, which shall include—

‘’(I) the reasons why the development of such an order is beneficial to the individual and the individual’s family and the reasons why such an order should be updated periodically as the health of the individual changes;

‘’(II) the information needed for an individual or legal surrogate to make informed decisions regarding the completion of such an order; and

‘’(III) the identification of resources that an individual may use to determine the requirements of the State in which such individual resides so that the treatment wishes of that individual will be carried out if the individual is un-

P. 427

able to communicate those wishes, including requirements regarding the designation of a surrogate decisionmaker (also known as a health care proxy).

‘’(ii) The Secretary shall limit the requirement for explanations under clause (i) to consultations furnished in a State—

‘’(I) in which all legal barriers have been addressed for enabling orders for life sustaining treatment to constitute a set of medical orders respected across all care settings; and

‘’(II) that has in effect a program for orders for life sustaining treatment described in clause (iii).

‘’(iii) A program for orders for life sustaining treatment for a States described in this clause is a program that—

‘’(I) ensures such orders are standardized and uniquely identifiable throughout the State;

‘’(II) distributes or makes accessible such orders to physicians and other health professionals that (acting within the scope of the professional’s authority under State law) may sign orders for life sustaining treatment;

P. 428

‘’(III) provides training for health care professionals across the continuum of care about the goals and use of orders for life sustaining treatment; and

‘’(IV) is guided by a coalition of stakeholders includes representatives from emergency medical services, emergency department physicians or nurses, state long-term care association, state medical association, state surveyors, agency responsible for senior services, state department of health, state hospital association, home health association, state bar association, and state hospice association.

‘’(2) A practitioner described in this paragraph is—

‘’(A) a physician (as defined in subsection (r)(1)); and

‘’(B) a nurse practitioner or physician’s assistant who has the authority under State law to sign orders for life sustaining treatments.

‘’(3)(A) An initial preventive physical examination under subsection (WW), including any related discussion during such examination, shall not be considered an advance care planning consultation for purposes of applying the 5-year limitation under paragraph (1).

P. 429

‘’(B) An advance care planning consultation with respect to an individual may be conducted more frequently than provided under paragraph (1) if there is a significant change in the health condition of the individual, including diagnosis of a chronic, progressive, life-limiting disease, a life-threatening or terminal diagnosis or life-threatening injury, or upon admission to a skilled nursing facility, a long-term care facility (as defined by the Secretary), or a hospice program.

‘’(4) A consultation under this subsection may include the formulation of an order regarding life sustaining treatment or a similar order.

‘’(5)(A) For purposes of this section, the term ‘order regarding life sustaining treatment’ means, with respect to an individual, an actionable medical order relating to the treatment of that individual that—

‘’(i) is signed and dated by a physician (as defined in subsection (r)(1)) or another health care
professional (as specified by the Secretary and who is acting within the scope of the professional’s authority under State law in signing such an order, including a nurse practitioner or physician assistant) and is in a form that permits it to stay with the individual and be followed by health care professionals and providers across the continuum of care;

P. 430

‘’(ii) effectively communicates the individual’s preferences regarding life sustaining treatment, including an indication of the treatment and care desired by the individual;

‘’(iii) is uniquely identifiable and standardized within a given locality, region, or State (as identified by the Secretary); and

‘’(iv) may incorporate any advance directive (as defined in section 1866(f)(3)) if executed by the individual.

‘’(B) The level of treatment indicated under subparagraph (A)(ii) may range from an indication for full treatment to an indication to limit some or all or specified interventions. Such indicated levels of treatment may include indications respecting, among other items—

‘’(i) the intensity of medical intervention if the patient is pulse less, apneic, or has serious cardiac or pulmonary problems;

‘’(ii) the individual’s desire regarding transfer to a hospital or remaining at the current care setting;

‘’(iii) the use of antibiotics; and

‘’(iv) the use of artificially administered nutrition and hydration.’’.

Wild Thing's comment........

Thank goodness for the various people that are checking this out and letting us know what all is in the Obama bill.
Obama the late term abortion, death to innocent children and now Betsy in the above information tell us about the part regarding older people too. So Obama sure is showing us his total disrard for the very young and the Senior Citizens. Each day we find something else out about this monster bill.

The other day I posted about how the Healrth bill OUTLAWED private insurance. Obama says it doesn't but he is telling a lie and the truth is right there in the bill. He sure count on people not using a compuuter or not doing research or watching the news on TV.

This is another thing that is in the bill, demanding vaccines for children no matter what even if parents don't want it done.

The committee’s official summary of the bill says: “Authorizes a demonstration program to improve immunization coverage. Under this program, CDC will provide grants to states to improve immunization coverage of children, adolescents, and adults through the use of evidence-based interventions. States may use funds to implement interventions that are recommended by the Community Preventive Services Task Force, such as reminders or recalls for patients or providers, or home visits.”

Home visits? What exactly is the state going to do when it sends people to “implement interventions” in private homes designed “to improve immunization coverage of children”?

The bill lists eight specific ways that states may use federal grant money to carry out immunization-promoting “interventions.” Method “E” calls for “home visits” which can include “provision of immunizations.”

Posted by Wild Thing at July 18, 2009 06:47 AM

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Comments

Posted by: Glenn Cassel AMH1(AW) USN RET at July 18, 2009 12:30 PM

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Posted by: TomR at July 18, 2009 01:43 PM

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Posted by: Mark at July 18, 2009 02:58 PM

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Posted by: Wild Thing at July 18, 2009 06:24 PM

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Posted by: Wild Thing at July 18, 2009 06:25 PM

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Posted by: Wild Thing at July 18, 2009 06:29 PM

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