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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsMedicare to cover end-of-life counseling
The policy change, to take effect Jan. 1, was tucked into a massive regulation on payments for doctors. It suggests that what many doctors regard as a common-sense option is no longer seen by the Obama administration as politically toxic. Counseling would be entirely voluntary for patients.
Some doctors already have such conversations with their patients without billing extra. Certain private insurers have begun offering reimbursement. But an opening to roughly 55 million Medicare beneficiaries could make such talks far more common. About three-quarters of the people who die each year in the U.S. are 65 and older, making Medicare the largest insurer at the end of life, according to the Kaiser Family Foundation.
"As a practicing physician, and a son, and someone who has dealt with this in his own family, I would say these are discussions ... that are critical to high-quality care," said Patrick Conway, Medicare's chief medical officer. "I would want any American who wanted to have this conversation with their clinician to have the opportunity to do so."
Medicare is using a relatively new term for end-of-life counseling: advance care planning. That's meant to reflect expert advice that people should make their wishes known about end-of-life care at different stages of their lives, as early as when they get a driver's license.
The counseling aims to discern the type of treatment patients want in their last days, with options ranging from care that's more focused on comfort than extending life to all-out medical efforts to resuscitate a dying patient.
http://bigstory.ap.org/article/3c1463f23baa4b79b2f2462ee9fc29ff/medicare-cover-end-life-counseling
As someone with a vested personal interest in end-of-life counseling, I have to applaud this movement. And if you want to look at it from a purely practical point of view, EOL is probably one of the most expensive times in one's life, yet good resources there are hard to find, or unobtainable, for the people who need it the most.
Skittles
(153,169 posts)Tab
(11,093 posts)then it takes on a totally different meaning.
doc03
(35,344 posts)procon
(15,805 posts)I'll certainly use that service. I need to understand the best options available, but I also want to make sure my family isn't troubled and knows that I have made an informed decision based on realistic medical information.
CTyankee
(63,912 posts)I don't know why some folks don't know they won't live forever...
procon
(15,805 posts)My dad was one of those. In his eighties, frail with cancer, and we brought him the basic paperwork to make those end of life choices. He put it off and we didn't understand why because it was so out of character for him. Maybe if he could have talked it over with his doctors he would have had a different response, instead he got mad at all of us and refused to even discuss it. I think he truly didn't believe that he was dying, but in the end it did fall on us and in the midst of our family tragedy, we had to set aside our grief and come together to discuss the cold practicality of how to let our father pass because we could only guess at what he might have wanted.
DesertFlower
(11,649 posts)since i was 49. my late husband and my mom (i had power of attorney) both had them and it made things much easier. i'm almost 74 now. had to re-do everything after hubby passed.
CTyankee
(63,912 posts)nobody is upset or unhappy. It's just easier...
DesertFlower
(11,649 posts)for everyone involved -- those with power of attorney, doctors, hospitals, etc.