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Last week Canada’s Supreme Court ruled that doctors could not unilaterally ignore a Toronto family’s decision to keep their near-dead husband and father on life support. In the same breath, however, the court also confirmed that, under the laws of Ontario, Canada’s most populous province, a group of government-appointed adjudicators could yet overrule the family’s choice. That tribunal, not the family or the doctors, has the ultimate power to pull the plug.
In other words: Canada has death panels.
I use that term advisedly. Former Republican vice presidential candidate Sarah Palin made it famous in the summer of 2009, when Congress was fighting over whether to pass Obamacare. As Republicans and Democrats continue to spar over health care, we should pause to wonder why millions of Canadians have come to accept the functional equivalent of an idea that almost sank health care reform even though, in this country, it was imaginary.
When humanity demands haste, and justice demands expert knowledge, Ontario’s death panels offer a solution—whatever Sarah Palin says.
It's more than a shame that folks are so blind they have to learn the hard way. The bad thing about that is the rest of us get to experience it too even though we knew better to begin with.
The board is instructed by law to focus on the patient’s best interests, not the health care system’s, or the government’s bottom line. Still, the law recognizes that, though it is usually in the patient’s best interests to be kept alive, it is not always so. As Rasouli’s doctors told the Supreme Court, prolonging his life would entail the risk of infection, bedsores, and organ failure. When recovery is out of the question, in other words, there may be fates worse than death.
The incentives in the American health care system point in the opposite direction. In the United States, keeping an all-but-dead patient alive on life support in a hospital bed generates income for the hospital, for as long as its bills get paid.
reply to post by xuenchen
would you be talking about the,Independent Payment Advisory Board (IPAB),or the Patient-Centered Outcomes Research Institute in obamacare
now they spin it this way and then spin it back. but it still a bunch of people sitting behind desks looking at what care i get, that's not me, my family or my doctor.
sounds familiar doesn't it, we already had that with the old insurance companies. but now it's official mandated by federal law.
edit on 22-10-2013 by hounddoghowlie because: (no reason given)
For instance, one program that is up for debate is Medicare’s Independent Payment Advisory Board, or IPAB. IPAB was created in 2010 following the implementation of President Obama’s Patient Protection and Affordable Care Act, and is a fifteen-member Government agency tasked with reducing Medicare costs while retaining quality of care.
The debate over IPAB has been fierce, and both Republicans and a number of prominent Democrats have come out against the panel. However, despite this, President Obama, in making his requests for the 2014 budget, has proposed that the Independent Payment Advisory Board’s authority only be increased.
Medicare's Independent Payment Advisory Board
Americans first became familiar with the task force in November 2009, when it made the controversial decision to recommend that women ages 40-49 shouldn't get routine mammograms. More recently, it rebuffed routine prostate-cancer screening and the use of tests that detect the viruses that can cause cervical cancer.
The task force relishes setting a very high bar. Like the Food and Drug Administration in approving new drugs, it usually requires a randomized, prospective trial to "prove" that a diagnostic test or other intervention improves clinical outcomes and therefore deserves a high grade of "A" or "B."
Meet the ObamaCare Mandate Committee
reply to post by xuenchen
here is a pretty good article on it.
Oba maCare ‘death panel’ faces growing opposition from Democrats
Canadians --- please enlighten us about this