Section 1233

pg 424
15. SEC. 1233. ADVANCE CARE PLANNING CONSULTATION
16. (a) Medicare-
17. (1) IN GENERAL - Section 1861 of the Social
18. Security Act (42 U>S>C> 1395x) in amended-
19. (A) in subsection (s) (2)-
20. (i) by striking "and" at the end of
21. subparagraph (DD);
22. (ii) by adding "and" at the end of
23. subparagraph (EE); and
24. (iii) by adding at the end the fol-
25. lowing new subparagraph:

pg 425
1. "(FF) advance care planning consultation (as
2. defined in subsectioin (hhh) (1);"; and
3. (B) by adding at the end the following new
4. subsection:
5. "Advance Care Planning Consultation
6. "(hhh) (1) Subject to paragraphs (3) and (4), the
7. term 'advance care planning consultation' means a con-
8. sultation between the individual and a practitioner de-
9. scribed in paragraph (2) regarding advance care planning,
10. if, subject to paragraph (3), the individual involved has
11. not had such a consultation within the last 5 years. Such
12. consultation shall include the following:
13. "(A) An explanation by the practitioner of ad-
14. vance care planning, including key questions and
15. considerations, important steps, and suggested peo-
16. ple to talk to.
17. "(B) An explanation by the practitioner of ad-
18. vance directives, including living wills and durable
19. powers of attorney, and their uses
20. "(C) An explanation by the practitioner of the
21. role and responsibilities of a health care proxy.
22. "(D) The provision by the practitioner of a list
23. of national and State-specific resources to assist con-
24. sumers and their families with advance care plan-
25. ning, including the national toll-free hotline, the ad-

pg 426

1. vance care planning clearinghouses, and State legal
2. service organizations (including those funded
3. through the Older Americans Act of 1965)
4. "(E) An explanation by the practitioner of the

ok the rest is listed under another post, but I have to admit, It is waaay more clear to me now.

Crazy Politico's Rantings: Good Reading on Insurance Reform

"Crazy Politico's Rantings: Good Reading on Insurance Reform says that health insurance reform will simply drive your health insurance company out of business and then cost you more."
**My Opinion**
The health care proponants claim that the government will cut costs to come up with a deficit neutral plan. When was the last time the government cut ANYTHING voluntarily? I can't remember. The government is simply incapable of governing itself.

The fancy planes, the fancy offices, hot and cold running interns. Well ok the interns are free.

Do not count on the government to cut costs to cover Obamacare, it will not happen, because they do not understand the concept of cutting costs.

How to Counter Republican Myths

How to Counter Republican Myths, let me count the ways by the DCCC.

Organzing at its finest, it is a foldy pocket guide.

MYTH: Grassroots Protestors are Disrupting Town Halls
FACT: Lobbyist-Run Groups are Orchestrating Extremist Mobs.

MYTH: Government-Encouraged Euthanasia
FACT: The claim is "nonsense"

MYTH: Private Plans Outlawed
FACT: Private health insurance not banned

MYTH: 120 Million Americans Will Be Deprived of Health Care
FACT: "FALSE"

MYTH: There is a Republican Plan
FACT: "Republicans have yet to coalesce around a single plan."

I cut out the boring parts, actually it is all boring but if your interested in the DCCC version.

End of Life Counseling

I have been hearing that there is end of life counseling and that there is not end of life counseling in the H.R. Bill so I looked. Page 426 line 5 is the first time the phrase "end-of-life" is used.

pg. 426
4. (E)"As an exlanation by the practitioner of the
5. continuum of end-of-life services and supports avail-
6. able, including palliative care and hospice, and bene-
7. fits for surch services and supports that are available
8. under this title.
9. (F) Subject to clause (ii), an explanation of
10. orders regarding life sustaining treatment or similiar
11. orders, which shall include -
12. "(I) the reasons why the development of
13. such an order is beneficial to the individual and
14. the individual's family and the reasons why
15. such an order shoud be updated periodically as
16. the health of the individual changes;
17. (II) the information needed for an indi-
18. vidual or legal surrogate to make informed deci-
19. sions regarding the completion of such an
20. order; and
21. "(III) the identification of resources that
22. an individual may use to determine the require-
23. ments of the State in which such individual re-
24. sides so that the treatment wishes of that indi-
25. vidual will be carried out if the individual in un-
pg27
1. able to communicate those wishes, including re-
2. quirements regarding the designation of a sur-
3. rogate decisionmaker (also known as a health
4. care proxy)

and on and on and on it goes.