VA's Denial-of-Care-Oriented 'Your Life, Your Choices,' Quashed Under Bush, Revived Under Obama

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VeteranAndFlag

If you were a reporter trying to gauge the credibility of Obama administration protests that it is really serious when it says that it will honor patient, doctor, and family treatment wishes in serious illness situations if the government takes an exponentially greater role in health care, you might look into how areas of health care already controlled by the government are dealing with these sensitive matters.

Apparently either no journalist has cared to look, or if anyone has looked, they haven't found anything they believe is worth reporting.

In today's Wall Street Journal, Jim Towey, a former director of the Bush White House's Office of Faith-Based Initiatives and founder of the nonprofit Aging with Dignity, found a troubling, newsworthy, death-encouraging decision that has already been made during Barack Obama's short term in office.

As Towey chronicles and explains, it's in the Veterans Administration, and it really is appalling. Here are key excerpts from his column (bolds are mine):

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If President Obama wants to better understand why America's discomfort with end-of-life discussions threatens to derail his health-care reform, he might begin with his own Department of Veterans Affairs (VA). He will quickly discover how government bureaucrats are greasing the slippery slope that can start with cost containment but quickly become a systematic denial of care.

Last year, bureaucrats at the VA's National Center for Ethics in Health Care advocated a 52-page end-of-life planning document, "Your Life, Your Choices." It was first published in 1997 and later promoted as the VA's preferred living will throughout its vast network of hospitals and nursing homes. After the Bush White House took a look at how this document was treating complex health and moral issues, the VA suspended its use. Unfortunately, under President Obama, the VA has now resuscitated "Your Life, Your Choices."

Who is the primary author of this workbook? Dr. Robert Pearlman, chief of ethics evaluation for the center, a man who in 1996 advocated for physician-assisted suicide in Vacco v. Quill before the U.S. Supreme Court and is known for his support of health-care rationing.

"Your Life, Your Choices" presents end-of-life choices in a way aimed at steering users toward predetermined conclusions, much like a political "push poll." For example, a worksheet on page 21 lists various scenarios and asks users to then decide whether their own life would be "not worth living."

The circumstances listed include ones common among the elderly and disabled: living in a nursing home, being in a wheelchair and not being able to "shake the blues." There is a section which provocatively asks, "Have you ever heard anyone say, 'If I'm a vegetable, pull the plug'?" There also are guilt-inducing scenarios such as "I can no longer contribute to my family's well being," "I am a severe financial burden on my family" and that the vet's situation "causes severe emotional burden for my family."

When the government can steer vulnerable individuals to conclude for themselves that life is not worth living, who needs a death panel?

..... only one organization was listed in the new version as a resource on advance directives: the Hemlock Society (now euphemistically known as "Compassion and Choices").

This hurry-up-and-die message is clear and unconscionable. Worse, a July 2009 VA directive instructs its primary care physicians to raise advance care planning with all VA patients and to refer them to "Your Life, Your Choices." Not just those of advanced age and debilitated condition—all patients. America's 24 million veterans deserve better.

Towey wraps by challenging the president "to walk two blocks from the Oval Office and pull the plug on 'Your Life, Your Choices.'"

Don't hold your breath, Jim -- waiting for the president to make the walk, or waiting for anyone else in the press to note a federally-controlled health care system that is realizing the worst fears of those who believe in the dignity of life.

Cross-posted at BizzyBlog.com.

—Tom Blumer is president of a training and development company in Mason, Ohio, and is a contributing editor to NewsBusters


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In the rush for government

In the rush for government to "present" choice, the overly helpful meddlers miss the point that choices must be "organic" not contrived or have the appearance of impropriety.  Choices that are organic are ones that are self evident which naturally present themselves at the appropriate time.  Organic choices are also ones that ONLY appropriately include the one whom will go through the end of life issue and close family or loved ones.  An uninvited unsoliticed advise giver is not organic but a meddling busybody who inappropriately wants to influence the decisions to be made. 

Nancy Pelosi and Harry Reid, starving the poor one gallon of ethanol at a time. Fill your tank with E85 and cull a village.

Usually when people are

Usually when people are ostensibly presenting "choice", what they're really presenting is pseudo-choice -- a choice that appears to be made freely, but which is actually made under conditions steering the person away from what he really wants into "choosing" what is being offered to him. Jeffrey Shrank explains this vividly in "Snap, Crackle, and POPular Taste: The Illusion of Free Choice in America". 

The point about pseudo-choice also applies pretty well to how abortion is packaged in America.  

So I assume the death

So I assume the death panels lay out the options?

We keep inching closer and closer to the National Socialists that were so bottom of the bucket just a short while ago.

I would ...

I would expect nothing less from a person such as obama or his administration. After all, they have no respect for human life if it is other than their own.

I have no doubt in my ex-military mind that if "the one" obama had to chose between the lifes of himself and his wife, he would forfit the life of his wife. "The one" obama is not an honorable man.

Remember folks, Freedom isn't Free. It was bought with the blood and sacrifice of the men and women who are serving and who have served in the U.S. Armed Forces.

For those who fought for it, Freedom has a flavor that the protected will never know.

Also remember folks, that the way to SUPPORT THE TROOPS is to support their mission. Anyone who says that they support the troops but don't support their mission is lying about supporting the troops. And if you want to know, yes I do have a dog in the fight, he is a United States Marine.

 

Good Point

Those who gave of themselves for America are now being sacrificed. It does not end there, Obama continues to bleed defense for continued needless spending. 

ObamaCare is unconstitutional. Congress does not have the right to impose it upon us and the idea of literally murdering our veterans is deranged. 

JDW

DAILY WAVE

Jobs, jobs, jobs ... Spending, spending, spending

You are right...

Remember back during the campaign when he needed a handy white "racist" to make whatever point he was making?  I guess he could think of nobody else, so he used his own grandmother as his example of a white racist.  (Or, as Professor Gates would say, "He own gran'mama...")  Our president has no honor, no conscience, and no shame. 

I wouldn't want him in a foxhole with me...although there were very few foxholes on my ships...closest thing to a foxhole aboard ship is a junior officer's stateroom, which were ratholes.    

Contact your representative...tell him or her to vote against this "Hurricane Bill!"

Point taken

I'd amend it, however....somewhat.

I wouldn't want BHO in the same county as me

No honor, no conscience, no shame....no there, there.

Empty suit.

I hope he fails, too.

 

 

Yep...

...you are right on. 

 

"Allies to Land at Normandy Tomorrow!"  New York Times headline; June 5, 1944  (h/t M. Malkin)

I'm sure glad I never gave

I'm sure glad I never gave Mr Towey the power of attorney. My wife has been instructed to 'pull the plug' as it were ASAP.

well well

I wonder if Ted Kennedy will be given this pamphlet and encouraged to just stay on the pain pills.

 

Ha!

That craven coward never served a day in the military in honorable service of protecting his country and freedoms.  VA will never see his ugly butt.

Teddy

Doesn't get to die until they designate his clone 

"Beware the fury of the patient man." - John Dryden

Does anybody know???

I remember hearing recently that Obama advocates requiring military personnel to purchase private health insurance, rather than having the CHAMPUS insurance currently provided.  Is this true?  Is this in the new Obamacare bill?

The VFW and other vet groups

The VFW and other vet groups stepped on Obama's head hard when they tried floating that idiotic idea.

What more proof does any

What more proof does any thinking person need?

 

"Of those men who have overturned the liberties of republics, the greatest number have begun their career by paying an obsequious court to the people, commencing demagogues and ending tyrants." - Alexander Hamilton, Federalist No. 1

The VA is for

The VA is for service-connected disabilities...not for health care for every guy with a service record looking for treatment.  I'm a Veteran, but I have no business at a VA hospital.

Think the VA is inundated now?  Wait until Vets get tired of standing in line for care at civilian hospitals under BarryCare.

One of the 34% who thinks George W. Bush was a great President. One of the 86% who wants to bring back the stock and pillory.

Something that these advance

Something that these advance directives discussions fail to take into consideration (and this is even among people who are leery of advanced directives) is that people tend to make decisions about hypotheticals far differently from how they make decisions about actual situations. People who assume that life with a particular disability would not be worth living -- that they'd even rather die than live with that disability -- change their minds after acquiring the disability in question and experience teaches them that they're still capable of living rich lives.

Under obama and ...

Under obama and company, we may be looking at another attempt at creating a master race. If this isn't being look at, then why is "the one" obama pushing so hard for abortion, stem cell research (this can result in genetic engineering), and this government run healthcare (which will result in rationing to senior citizens preventing them from getting needed care.).

Remember folks, Freedom isn't Free. It was bought with the blood and sacrifice of the men and women who are serving and who have served in the U.S. Armed Forces.

For those who fought for it, Freedom has a flavor that the protected will never know.

Also remember folks, that the way to SUPPORT THE TROOPS is to support their mission. Anyone who says that they support the troops but don't support their mission is lying about supporting the troops. And if you want to know, yes I do have a dog in the fight, he is a United States Marine.