Thursday, January 6, 2011
Medicare and Advance Directives II
The Obama White House has again changed its mind and decided not to include language on the subject of end of life counseling. I believe that a rule that could help make it clear that patients have the right to this counseling under Medicare woulsd be good, but the rule should be made according to the rulemaking process which requires that the rule be open to comment from interested parties before it becomes law, while in this case the White House does not believe that there was "adequate space" in the public comment period, according to White House spokesperson Robert Gibbs. That being said, I do not believe that this change will have any effect on the paranoia of many of Obama's opponents, which was not made any LESS outrageous by the earlier decision to include this language in a regulation, but it is a good sign of a healthy respect for the spirit of the law.