The American Medical Association wants to jumpstart a health care discussion that died a political death almost five years ago:
to "death panel," or not to "death panel?"
Of course, we're not talking about actual panels making life-or-death decisions on behalf of patients, but mandated coverage for "end of life discussions" between patients and doctors. Back in
2009, Sarah Palin coined the divisive term, and woke America up to the possibility that yes, handing over our health care decisions to the government a little bit at a time could backfire in spectacular and inhumane ways.
The New York Times
reports that the AMA is putting pressure on the Center for Medicare and Medicaid Services to begin covering these end of life discussions. If the Center adopts the AMA's recommendations, Medicare patients could start receiving coverage for these conversations as early as next year.
From the
Times:
“We think it’s really important to incentivize this kind of care,” said Dr. Barbara Levy, chairwoman of the A.M.A. committee that submits reimbursement recommendations to Medicare. “The idea is to make sure patients and their families understand the consequences, the pros and cons and options so they can make the best decision for them.”
Now, some doctors conduct such conversations for free or shoehorn them into other medical visits. Dr. Joseph Hinterberger, a family physician here in Dundee, wants to avoid situations in which he has had to decide for incapacitated patients who had no family or stated preferences.
Although the Affordable Care Act contains no coverage requirements for end of life conversations, many private insurance companies have made the choice on their own to cover these appointments.