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Politics, Public Opinion and Palliative Care

Politics, Public Opinion and Palliative Care. Frank Chessa Beverly Thorpe. Governor Richard Lamm. Governor Colorado, 1975-1987 John Denver, Poet Laureate Co-Director, Policy Studies Program, U. Denver I have a plan to destroy America, 2004. Duty to Die Speech, 1984.

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Politics, Public Opinion and Palliative Care

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  1. Politics, Public Opinion and Palliative Care Frank Chessa Beverly Thorpe

  2. Governor Richard Lamm • Governor Colorado, 1975-1987 • John Denver, Poet Laureate • Co-Director, Policy Studies Program, U. Denver • I have a plan to destroy America, 2004

  3. Duty to Die Speech, 1984 • “Like leaves which fall off a tree forming the humus in which other plants can grow, we've got a duty to die and get out of the way with all of our machines and artificial hearts, so that our kids can build a reasonable life. “Medical science is replacing God in deciding when we die"

  4. Politics

  5. Town-hall meeting with President Obama July 28 "I have been told there is a clause in there that everyone that's Medicare age will be visited and told to decide how they wish to die," the woman told the President. "This bothers me greatly, and I'd like for you to promise me that this is not in this bill." Business Week, Internet Magazine, July 30, 2009

  6. "We've been hearing concerns from our members that this is a step toward government-mandated euthanasia," says Jim Dau, a spokesman for the AARP, the advocacy group for people past age 50, which supports health care reform to help older Americans. "These are baseless scare tactics put out by those who seek to derail health-care reform. The bill would help people find resources to help themselves and their doctors make important decisions about the end of their lives." Business Week, Internet Magazine, July 30, 2009 Confusion and Fear

  7. Patients may refuse without penalty, but many will bow to white-coated authority. Once they’re in the meeting, the bill does permit “formulation” of a plug-pulling order right then and there. So when Rep. Earl Blumenauer (D-Ore.) denies that Section 1233 would “place senior citizens in situations where they feel pressured to sign end-of-life directives that they would not otherwise sign,” I don’t think he’s being realistic. Sarah Palin,Concerning the “Death Panels” Facebook, August 13, 2009

  8. "The intent here is to simply make sure that you've got more information, and that Medicare will pay for it."

  9. An Unwitting BirthplaceLaCrosse, WisconsinPop. 52,000 Residents say: “the best place to live” and a good place to die.

  10. Gunderson Memorial Hospital • More than 90% of people in town have an Advanced Directive when they die. • Pioneer in End of Life Discussions with patients and families

  11. The relationship between cost containment and end of life care Is there one?

  12. Double Effect – Two Good Ones • A foreseen, but unintended, effect of empowering people to take control of their health care near the end of their lives is a lowering of costs associated with refusals of unwanted (but available) interventions aimed at extending life. • Not done for the money: If empowering people cost more money, it would be done anyway.

  13. Are Death Panels Real?

  14. Your comments on Politics Public Opinion Palliative Care (and maybe cost containment)

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