 |
| I know a lot of you were worried I did not see this yesterday, but I did. |
Physicians would be paid to discuss end-of-life options with Medicare patients who want their wishes spelled out in advance under a regulation proposed by the federal government Wednesday.
Medical societies and seniors' groups like the AARP have long supported so-called advance care planning as a way for patients to consider whether they want intensive medical care in the event of a life-threatening illness near the close of their lives, and to make their preferences known to their loved ones in writing. But Medicare has never had a mechanism with which to pay doctors for this counseling, except during a physical exam when beneficiaries first enroll in the program.
“Today’s proposal supports individuals and families who wish to have the opportunity to discuss advance care planning with their physician and care team, as part of coordinated, patient- and family-centered care," Centers for Medicare and Medicaid Services Chief Medical Officer Patrick Conway said in a statement. "CMS looks forward to gathering public input on this proposal.”
The article goes on to point out that an earlier version of this option was derailed due to Sarah Palin's histrionics over the so-called "death panels" which earned her Politifact's "Lie of the Year" back in 2009.
You may remember that back then Palin's ghostwriter wrote this on her Facebook page:
"The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s 'death panel' so his bureaucrats can decide, based on a subjective judgment of their 'level of productivity in society,' whether they are worthy of health care. Such a system is downright evil."
Which is so stupid that you actually risk losing brain cells by reading it.
Well fortunately today cooler, less ignorant, heads are prevailing and this end-of-life option is being reintroduced.
Which I think we all realize means at some point Palin will fire up her ghostwriter and post yet another brain cell murdering diatribe on her only remaining media outlet, Facebook.
I am sure reporters and pundits have their itchy fingers hovering over their keyboards in anticipation.
"reporters and pundits"?
ReplyDeleteAdd comedians.
You should see her latest FB post. She has brought back crosshairs.
ReplyDeleteI swear she won't be happy until she's started all out war. Effing AIPer bitch.
DeleteYou man APIer bitch?
DeleteIf I were Sarah Palin I'd have great fear of being admitted or entering a hospital anywhere in this country due to a sudden illness or accident!
DeleteI'm sure there are a number of folks out there that would love to slip her the needle and put her night night!
And, as to bringing up 'crosshairs' again - hope she travels with good security. She, in all likelihood will be in them as was Gabby!
I so hope Sarah Palin experiences one very painful death! She deserves nothing better due to the hate, racism and evilness she's demonstrated these past years!
Sarah, the door to Hell is wide open waiting for you!
Naw we can wrap her up in a blanket and drop her off at API...her quitter money can pay for it! Not the taxpayer!
Delete1:21, I realize the point you are making with API, but please realize that some of us believe that we can't over emphasise Todd and Sarah Palin's ties to the AIP and you kind of mess with our message.
DeleteI'd rather seen her gone forever too! She's been a worthless human being and a waste of our time and money!
Delete1:54, agreed. Nothing I see that API stands for even applies here. So I guess I'm missing the point.
DeleteWell gather them up and admit em! All of em! I think its ironic that the name of their group has the same initials as the local funny farm! Two peas in a pod!
DeleteWhich is her new devotional book is such a crock of crap.
DeleteCross hairs?? She's the most idiotic tone deaf creature to ever walk this earth. There's a place in hell for this shit stirring bitch.
DeleteYou mean "poutrage machine."
ReplyDeleteI thought it was inappropriate of Huffpo to even mention her. Why fan the flames of stupidity?
ReplyDeleteI agree. The only thing that will sink through her thick skull to the spongy twitching gray gunk within will be "I'm above the fold on the front page of Huffpo! I'm relevant!"
DeleteThen again, even if the article carefully avoided her name, she would figure out that the imaginary death panels were up for discussion again, and provided the perfect excuse for an even more deranged screechbook rant.
She is becoming so desperate for attention, any attention. She is such a pathetic loser.
I always thought it was cruel when people had their dogs' bark removed. In sarah's case it would be a fucking blessing.
DeleteBecause she is the one that stirred the pot of fear with her death panels. It is fitting she is taken down again for her LIES!!!
DeleteSince she only has FB to deliver her juvenile rants, the prediction is she will ramp up the crazy comments to stay in the news.
ReplyDeleteShouldn't she be riding around with Tawd and a shotgun lookin' fer a baby daddy and a husband for Ol' Brisket?
ReplyDeleteLol...
DeleteTawd and Scarah are busy tyrannizing anyone they can, including family and friends.
DeleteMarina is to co-parent their grand baby. They need look no further. It was all planned. And what a plan!
Now neither BFF Bristol Palin or Marina Lupas have much freedom in America. Why do they tolerate the lose of their rights in silence?
MARINA HAS THINGS TO SAY, SHE MUST KEEP HER MOUTH CLOSED.
marina_exotix_llc 29 days ago
The things I want to say but will keep my mouth closed ...love you B all day everyday !!! The strongest you female I know !!! Amazing mother amazing friend !!! @bsmp2
What kind of love is so oppressive?
MARINA HAD TO DELETE THIS ENDEARING POST REGARDING THEIR RELATIONSHIP.
http://1.bp.blogspot.com/-kaRtL6Uw42Y/VUAP6167DDI/AAAAAAAAJqM/3WP8rJPwIJ8/s1600/Marina%2BLupas.JPG
The same curse has fallen on Jordan Lowe, she was once a freedom loving spirit going through life as an open expressive human being. Her mistake was to hook up with the Palins.
Piper has been free and not so free since turning 14 and able to have a public account. It must be hell to live in the Palin Prison.
Gee any computer hacking? Or pinging as they obsessively drive by or fly by? Stalking is become cat an mouse for po po! Just read for the record! They are watching and waiting for you Sarah!
Delete1:30 PM:
DeleteI'm slowly beginning to think that Bristol is bi-sexual.
2:53 PM:
Delete~*Seriously*~
Lol...
DeleteThe jig is up.
ReplyDeletehttp://www.blogcdn.com/main.stylelist.com/media/2010/10/bristol-mark-dancing-590km101910.jpg
OT
Jesse Ventura Takes the Republican Presidential Field to School
http://www.mediaite.com/online/jesse-ventura-takes-the-republican-presidential-field-to-school/
BWAHAHAHA, Bristol's arms and legs were huge. How did DWTS allow her to 'compete' while obviously pregnant? She put that baby(Kyla Grace) through some heavy exercise. Was she too stupid to realize how dangerous that was? Mama Sarah Palin has too much control over her offspring.
DeleteWhat I always thought about when she was obviously pregnant on DWTS - was the binding they put around her stomach to try to hide it. Concerned it would not be good for the baby!
DeletePlus, being tight and confining, was it worth the effort, Bristol? She was basically drug around the dance floor and was a horrible dancer!
Little lady, you are as much an idiot as is your mother! You were back then and haven't changed one iota since those days!
She's such a cow she makes that little Mark twit look like a third grader next to her.
DeleteWhy would she care about the baby, since she gives them away as soon as they are born anyway? Cold hearted BITCH is not a mother to admire. She does not give a F about her babies. Animals have better motherly instincts than her.
DeleteMy step-mother, whom I love deeply, has cancer; and I just found out two hours ago she now has hospice care and won't last, probably the month. Sarah fucking asswipe can kiss my smelly white ass. My dad, (who I love more than anything in this fucked up world) is having to deal with his wife dying. What a person does with their life and their doctor is between them and she can fuck off and die as far as I'm concerned.
ReplyDeleteMy brother, a former marine, had bone cancer. He was sent home when every last possibility was used up. He BEGGED his wife to ask the doctor to PLEASE help him end the torture. The doctor said he could not, under the law. A couple of days later right after the doctor left, Bill went asleep, peacefully, and never woke up..Kathy thinks the doctor DID help him. There was no possibility of living a normal life. Kathy was devastated, but relieved that his suffering was over.
DeleteI understand about your stepmom. My mom has also been put in hospice care. It's so hard when we see people who have lived large in our lives become so helpless and dependent. especially when we've leaned on them in our lives. To have the best possible care, kindness and tenderness for our loved ones in their final days is critical. Making the utmost effort to respect the dying person's dignity and personal hygiene, comfort and privacy is the focus.
DeleteI'm so sorry for your inevitable loss. I'm so sorry that your dad will lose his life partner. Blessing to you all.
Sarah is truly an evil creature. I echo your sentiments.
About friggin' time: my mother was 91 with pneumonia, dying before my eyes in hospital and the doctors gave her a feeding tube and wanted to do another major hiatus henria operation asap. She couldn't really understand any of it. The stay in the hospital for 8 days cost $80,000. (She had good insurance, thank gawd.)
ReplyDeleteIMO, this is farming old people for money and a disgrace. She had told my sister two weeks before she was perfectly ready to die.
There was no counseling until the last day when she was so infectious, we could not touch her. The social worker told us that to keep a body going at that stage is not only counterproductive but painful. It is going against nature. We brought her home and she died peacefully -- off any machines -- two days later.
Even though she was in a coma, she called out in the middle of her last night, shouting over and over: "Be thankful! Be thankful! Be thankful."
Well, I'll be thankful for these proposed and long-time-coming counseling sessions for other people so they don't have to go through what my mother had to endure.
You brought tears to my eyes Anonymous 12:37. My mother died in 2008 at almost 91 years of age (ultimately renal failure and then an infection). Thankfully, her situation was peaceful the final three to four weeks she was in the hospital. Like your mother, my mother had excellent coverage.
DeleteI signed a paper years ago to let me go without any heroic measures. I also co-signed for a friend to get hers on file.No machines, just let me go naturally.
DeleteNo one has been reporting what old Sarah says on her Facebook page for quite some time.
ReplyDeleteAnd since Sarah has been reduced to having Facebook as her only means of communication (since she is too chicken to appear on any network without knowing the questions), I think she needs the 'Lame stream media" a lot more than they need her.
Anon 12:26
ReplyDeleteSo sorry for you and your family. F**king cancer.
Take care.
A doctor can finally help families and individuals balance treatments and quality of life. If mom has dementia which will lead to death, why put her through hip replacement or other major procedures that can only lead to her spending her final days being bedridden.
ReplyDeleteMost doctors, knowing the consequences and outcomes, would refuse the interventions that many people have near the end of life. They choose peaceful days with their families over more treatments which have little real life extending value.
And other Drs push for treatment that will do no good except cause harm.
DeleteMy Dad is 93, and while he is living in his own apartment had an oncologist try and convince him to spend $115,000 for some whacko experimental cancer treatment ( Not approved so not covered by medicare). Thank goodness my Dad's internist, while not going against any care in itself, discussed with my Dad the side effects and how it may affect his quality of life, be detrimental to his other ongoing health issues and supported my Dad's right to concentrate on doing what he wants instead of being sick from some treatment that has very little chance of any short term ( like my Dad says, his whole life is now short term) gain and most likely not add to any longevity of his lifespan anyway..
My Dad decided on "no treatment". has all his paperwork in order, power of atty to my atty sister, who will honor his wishes on any treatments when he is no longer able to. He also met with all of his children, had a very frank conversation about "when his time comes". Thankfully, in our family we all agree that we will honor my Dad's choices.
Wait, I'm confused. Someone should maybe ask $arah exactly how a for-profit healthcare system isn't also too deciding who gets healthcare on the basis of their 'level of productivity in society,' expressed as their ability to pay. What a brainless moran.
ReplyDeleteIf Sarah Palin wants attention, she can wrap herself in a Confederate Flag and post it on Facebook. That seems to be her only venue available. There is enough RED in the Confederate Flag to give her NECK a RED hue. AIP is as close to the Confederacy as Sarah will get.
ReplyDeleteThat is awesome for patients, their families, and the medical system.
ReplyDeleteBONUS: big middle finger to sarah.
Let us laugh and point.
After how much pain and suffering that woman has caused, she deserves to be kicked when she is down.
She won't stay down but she should.
Good to know:
ReplyDeleteGOP candidates must turn in financial disclosure on time to get into first debate
The large field of Republican presidential hopefuls jockeying to make the cut for the first 2016 debate will have to file a public disclosure of their personal finances on time to participate.
...Under a 1978 federal ethics law, all presidential candidates have to file details about their financial interests with the FEC within 30 days of declaring. The agency allows two 45-day extensions.
But requests for extensions will not be considered sufficient to participate in the debate, according to a person familiar with the details of the FEC paperwork required under the criteria, who requested anonymity to describe the process.
"They must fill out the form, putting the dollars and cents on the table, before they step on the debate stage," the person said.
http://www.washingtonpost.com/blogs/post-politics/wp/2015/07/09/gop-candidates-must-turn-in-financial-disclosure-on-time-to-get-into-first-debate/
Well, that pretty much guarantees that the huckster palin won't be running. She discloses nothing because she's a slithering crook.
DeleteThe mere fact that they posted THAT picture. One of our favorites here at IM -- Miss Quittypants frown that I'm sure many out there haven't seen before. One of the very few times I've seen an outlet post a very non flattering photo of our whore of babble-on. It illustrates with one front page photo just how far she has fallen and is toast. Serves her right.
ReplyDeleteI agree about them using that photo, and what it signifies- the tide is turning. About time!
DeleteAnon 12:26
ReplyDeleteI am so very sorry about your news.
I lost my only sister in Jan. to C.
I really do feel your pain.
JJ
'Death panels', indeed. Palin and her ilk should be ashamed of themselves for trying to strike MORE fear into the hearts of Seniors and Medicare recipients! The shame IS - they have no shame.
ReplyDeleteIf Sarah Palin and Bristol are against Government Healthcare and Welfare, why don't they BURN their Native Healthcare Cards? The Palins have enjoyed living off of SarahPac funds since 2008, how is that not Welfare?
ReplyDeleteSince Bristol wants people in need to burn welfare checks, she claims to be pro-life because she puts fetus cells above all else and she lectured and preaches for others to be abstinent when she couldn't do it... someone must have told her by now how much it costs to have any medical attention and births are not inexpensive.
DeleteHer solution is to offer no solutions and just preach to end something good that is working.
Bristol needs to be more transparent and open about herself and where and how she can advise and inform people about these matters.
It is more than suspicion now that she is a fraud. She now claims to be 'working' again but most know she never actually worked at the dermatology office.
She really needs to have more sunshine on all her activities that have the slightest indication of fraud.
Most single mothers raise their babies alone. Bristles passes hers off to whoever will take them. Where are all her other kids, apart from Tripp anf Trig??
DeleteWell Bristol is going need that health care when her next child is born with alcohol and drug dependency !!!
DeleteAny rational adult who does not have advanced planning for end of life decisions is beyond stupid. Ours are filed with the local hospital and with our doctors. In fact, if you register at the hospital for any kind of treatment, one of the first questions is if you have your advanced planning on file. What would Sarah Palin do if she came to our hospital for emergency room care? Besides simply freak out.
ReplyDeleteBeaglemom
Maybe she can teach the new bambino not to say f***ot then.
ReplyDeleteCrosshairs? Watch what you wish for, Sarah. You Palins have more enemies than any other U.S. Citizens.
ReplyDeleteAs the daughter of two RNs, this is a discussion that needs to happen no matter what a person's age is. Look at the case of Bobbi Kristina Brown, a catastrophic accident can happen no matter what your age is--someone should know your wishes if you are unable to speak for yourself. Advance planning can help avoid some of the nightmares that have worked their way through the courts.
ReplyDeleteMy brother died a few yrs back at 55.. I was there when he "crashed". Fortunately I was able to call in family. They did what they could for him and came out to ask if we wanted him kept alive on machines. We declined knowing his wishes. I remember knowing in my heart it was the right thing to do.
DeleteOn cue---Palin has a death panel FB post "Death Panels blah, blah. All Caps. Idiot woman
ReplyDeleteMy father died of Alzheimer's.
ReplyDeleteI understand end-of-life counseling.
I damn to Hell those like Sarah Palin who - because of their bottomless ignorance - stand in the way of such counseling.
ReplyDeleteHad to grab this before it disappeared from sea 4 pee. Now that Sarah has posted that she was right all along the flock has to backtrack.
Sarah Palin told you about death panels
http://www.gopusa.com/news/201...
6 Reply
−
Avatar
colint busybee01
2 hours ago
This article is mostly about "end of life counseling" Not death panels.That is, doctors discussing with patients on how much the doctor should do that would prolong the dying process. Do they want to be resuscitated if their heart stops beating. Dr. Gelson who sometimes comments here has a practice that mostly serves the elderly. A few weeks ago he mentioned having 3 patients die in the last week. He would could explain better the reason for end of life counseling.
Death Panels that Sarah mentions were boards staffed by political appointees who would decide what procedures would not be provided to persons reaching some age. For example, would an 80 year old get a hip replacement that results in the patient being incapacitated for at least 3 months. Recovery takes much longer for the elderly. Boards like this exist also with private insurers. Such boards should be staffed by elderly retired experienced doctors who know what outcomes are likely.
2 Reply
−
Avatar
excopconservative colint
2 hours ago
The media thought that Sarah was talking about end of life counseling when she made her remarks about death panels. Apparently some of them never learned enough about Obamacare to correct their mis-perception.
4 Reply
−
Avatar
MaMcGriz excopconservative
31 minutes ago
"Apparently some of them never learned enough about Obamacare to correct their mis-perception."
Where have we seen that about a millions times before?
0 Reply
This is one of those topics that most folks do not like to discuss. But !!!! It is important. And ALL of us should have an Idea what you would like to happen if you have that luxury to decide. Many don't. Who receives care and who does not varies for many reasons. I believe that true non profit health facilities do not discriminate. I believe that all usa citizens should have the same medical card that covers EVERYTHING. And it is built into our taxation system. additionally. IF WE wanted to control cost. All usa citizens would have genetic testing and we would solve many disease with cures. Cost of care would drop. peace .....talk about your wishes while you can to someone.
ReplyDeleteWhat screech isn't smart enough to know is we've had Death panels all along. Formally known as your Insurance carrier.they had the last word on if they'd cover you,at all. Not so,anymore. People want to moan about your ins.rates going up? Blame your private carrier for having the balls to charge you more in order to cover your preconditions,ect. Insurers no longer get to deny people when they have nowhere else to turn and have payed their insurers buckets of $$$ only to be denied.
ReplyDeleteOh, they used my favorite photo of sourpuss galore. Why the sad face You pulled your own plug.
ReplyDeleteThis is a service that people need to protect themselves from the yahoos who speak at the Terri Schiavo Foundation for self adulation and money, did I mention money???
We're all mortal, and as mortals, it's our right to have our wishes met. We did ours the day my father was diagnosed with Stage four cancer. Yes, it adds cost to healthcare, but it saves time and money to keep a body alive just because we can. There's quality of life and dignity issues, it's a private matter just as any matter between doctor/patient.
Where ARE the folks who ran to Terri Schiavo's bed and stuck their noses in her family's tragedy? Bobbi Christina Brown, Whitney Houston's daughter, is in a hospice center on life support.... yet no one's beating a path to her door. Gee, what's the difference?????
(I'm not wishing ill on Bobbi' nor her family, it's just a blaring example of the sheer hypocrisy of the loons. I hope they find the strength to get through this with dignity and with the privacy they deserve. No one should have to bury a child)
Sarah Palin go to HELL!!
ReplyDeleteI know from personal experience how hard it is to make that final decision. My mother had told me she didn’t want to end her life as a vegetable on life support, however hospitals have to follow laws.
Luckily she had a very specific medical power of attorney drawn up because at the end everything went very rapidly, there was no time to ask what her requests were. When the hospital called and said we think you should “pull the plug because she is going to have a heart attack that will kill her that will be a very violent end”, I knew the less painful way to go was to stop the ventilator.
So Sarah Palin GO TO HELL!!! You ignorant bitch, that has derailed common sense in this nation for SIX years. Go worry about who the father of your next grandchild is and leave the discussions to the grown-ups.
what crackpot is SP that she cannot see the many many
Deleterequests to GO AWAY. Go "tend" your brawly family and SHUTUP.Your 15 minutes is over. Go gracefully or somebody is going to put you away: in jail at best or in a straight jacket (ask at best).