And in the course of talking about runaway costs and ways to reduce them, Obama actually advocated end-of-life panels issuing voluntary guidelines with Timesman David Leonhardt, as reported in the Times; by way of introduction, Obama had been discussing the story of his grandmother, who was terminally ill with cancer when she had an expensive hip replacement procedure so that she would not be bed-ridden for the last three to nine months of her life:
THE PRESIDENT: So that's where I think you just get into some very difficult moral issues. But that's also a huge driver of cost, right?
I mean, the chronically ill and those toward the end of their lives are accounting for potentially 80 percent of the total health care bill out here.
LEONHARDT: So how do you — how do we deal with it?
So as of April 2009 Obama himself expected the final legislation to include some sort of group (but NOT a "death panel"!) that would produce voluntary guidelines for end of life care with an eye towards saving money.
HOW VOLUNTARY? And how voluntary will these imagined guidelines be? Doctors that are currently free to prescribe painkillers volunteer not to, to avoid hassles from the DEA. Mightn't doctors prefer to follow the "voluntary" end-of-life guidelines rather than risk Federal examination of their taxes, expenses, hiring decisions, and payroll? That would depend in large part on how aggressively the government chose to push the "voluntary" guidelines.
Based on the current public reaction to these "rumors" I would imagine that the Feds will steer clear of this, for now anyway.
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