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"The fragmentation of power produced by the structure of our government is central to liberty, and when we destroy it, we place liberty in peril. Today's decision should have vindicated, should have taught, this truth; instead our judgment today has disregarded it."

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OBAMACARE MUST FALL!



Tuesday, August 11, 2009

Section 1233 ... Similar Order

Here is a link to section 1233 in the Healthcare bill. This is the Euthanasia section referred to by many older Americans. On it's face it seems innocuous enough. I have pasted the section below:

America’s Affordable Health Choices Act of 2009

Section 1233: Advance Care Planning Consultation

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 advance 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;

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

The phrase "similar orders" has piqued my interest. If the "order" is in regards to life sustaining treatment(which by itself is a neutral reference i.e. the order to resuscitate vs. the order to refrain from resuscitating), what does "similar order" refer to? ... the cessation of life sustaining treatment? Huh? It is similar because it has to do with decision of life or death. Just because it is "similar" does not mean it cannot be opposite to the idea of sustaining life. In other words, so long as we provide you or your surrogate decisionmaker with the reason we're going to let you wither and die, it's ok for us to let you wither and die.