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01/17/2017

The Future of Health Insurance May Look A Lot Like Our Past

by Craig Klugman, Ph.D.

This week marks the transition of power from President Obama to President-elect Trump. One issue that has been high on Trump’s list of policy changes is a repeal and replace of the Affordable Care Act (a.k.a. Obamacare). The Republicans and Trump seem split in how to go about this. Some Republicans want to repeal immediately with a replacement to come in the future; others want to vote for repeal but have it take effect only after a replacement; Trump want both repeal and replace to happen quickly and simultaneously.

Last week, both Houses of Congress passed rules in a budget resolution that would permit the ACA to be repealed with only a majority vote rather than two-thirds.…

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01/16/2017

Does Having Too Much Money Make Us Stupid?

As a science, economics does not always succeed at predicting how humans behave. The discipline assumes a level of rationality, and an ability to process complex information, that far exceeds human capacity. But as a standard for how people ought to behave, … Continue reading

The post Does Having Too Much Money Make Us Stupid? appeared first on PeterUbel.com.

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01/16/2017

Trial in Dunn/Kelly Case Challenging TADA Pushed to July 2017

The lawsuit challenging the constitutionality of the medical futility dispute resolution provisions in the Texas Advance Directives had been scheduled to begin this month.  But it has been pushed back to July. Check out my analysis of the constit...

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This entry was posted in Health Care and tagged , . Posted by Thaddeus Mason Pope, JD, PhD. Bookmark the permalink.

01/15/2017

2nd International Conference on End of Life: Law, Ethics, Policy and Practice

Join me at the 2nd International Conference on End of Life: Law, Ethics, Policy and Practice (ICEL 2017) from 13 – 15 September 2017 in Halifax, Nova Scotia, Canada.

This is a multidisciplinary, multinational conference, with presenting disciplines including, but not limited to, law, medicine, nursing, philosophy and bioethics, and representation spanning health and legal practitioners, academics, NGOs, and regulators and policy-makers.

Further information about registration and the conference program is available from the conference website.

The call for abstracts is now open and will close on 15 February 2017. Abstracts are particularly welcomed within the following streams:

  • Withholding and withdrawing potentially life-sustaining treatment (e.g. the “futile treatment” debate, artificial hydration and nutrition)
  • Palliative sedation
  • Advance directives and advance care planning
  • Medical assistance in dying (euthanasia and assisted suicide)
  • Other end of life law, ethics, policy, and practice issues.

This conference will be co-hosted by the Dalhousie Health Law Institute, Dalhousie University, Canada; the Australian Centre for Health Law Research, Queensland University of Technology, Australia; and the International Collaborative for End of Life Care Research (based in Belgium and the Netherlands).

For conference updates and further information please visit http://icel2halifax.ca/ or contact icel2@dal.ca

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01/15/2017

A Clinician’s Guide to Privacy and Communication in the ICU

Make your staff read this short article in Critical Care Medicine.  So many clinicians believe that HIPAA constrains their ability to communicate with patient's families far more than it really does. This expert analysis helps bust those myths. ...

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01/14/2017

Speaking of Dying – Screening in Saint Paul, MN

Film Screening and Discussion on Tuesday, January 31, 2017 from 7 pm - 8:30 pm at Clouds in Water Zen Center, 455 N Farrington Street, St Paul, MN 55103

Speaking of Dying” captures the importance of individuals and groups   speaking openly about all aspects of the dying process. The interviews and stories in this 30-minute documentary reveal the complexities of end-of-life  choices while demonstrating resources and attitudes that can empower us. Most of all this will help you believe that your can have a peaceful and meaningful ending that will be a gift to you and to your loved ones. 

Facilitated by Laurel Riedel, Advanced Practice RN  speakingofdyingmn@gmail.com or 612-868-4116
Find us on Facebook: Speaking of Dying Minnesota

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This entry was posted in Health Care and tagged , . Posted by Thaddeus Mason Pope, JD, PhD. Bookmark the permalink.

01/14/2017

Federal Legislation to EXCLUDE Advance Care Planning under Medicare

Congressman Steve King has re-introduced a bill to exclude coverage of advance care planning services under the
Medicare program. 

Unfortunately, King fundamentally either misunderstands or deliberately mischaracterizes the current program, which is focused on soliciting and honoring the individual's own treatment preferences, not about limiting or constraining choice in any way.

"My legislation prohibits Medicare payments for end-of-life counseling, blocking this harmful regulation before our government imposes yet another life-devaluing policy on the American people. ”   

“A year ago this month, the government increased control over one of the most highly personal healthcare decisions an individual can make when the Centers for Medicare and Medicaid Services (CMS) began paying doctors to counsel patients about end-of-life care."

"Allowing the federal government to marry its need to save dollars with the promotion of end-of-life counseling is not in the interest of millions of Americans who were promised life-sustaining care in their older years in exchange for their compelled funding of the program during their working years. 

"Furthermore, this exact provision was removed from the final draft of Obamacare in 2009 as a direct result of public outcry. The worldview behind the policy has not changed since then and government control over this intimate choice is still intolerable to those who respect the dignity of human life."

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01/13/2017

Fordham University’s Dr. Celia B. Fisher on Bystander Apathy

  Since the election of Donald Trump in November, there has been a 35 percent increase in hate crimes across New York City, according to Straus News.  Throughout the presidential campaign, reported NYPD statistics of the city’s hate crime count has doubled in a year with 43 incidents in the 27 days following the election. The … More Fordham University’s Dr. Celia B. Fisher on Bystander Apathy

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01/13/2017

Physician Power to Declare Death by Neurologic Criteria Threatened

My new article with Ariane Lewis is now available from NEUROCRITICAL CARE - "Physician Power to Declare Death by Neurologic Criteria Threatened."

Background
Three recent lawsuits that address declaration of brain death (BD) garnered significant media attention and threaten to limit physician power to declare BD.

Methods
We discuss these cases and their consequences including: the right to refuse an apnea test, accepted medical standards for declaration of BD, and the irreversibility of BD.

Results
These cases warrant discussion because they threaten to: limit physicians’ power to determine death; incite families to seek injunctions to continue organ support after BD; and force hospitals to dispense valuable resources to dead patients in lieu of patients with reparable illnesses or injuries.

Conclusions
Physicians, philosophers, religious officials, ethicists, and lawyers must work together to address these issues and educate both the public and medical community about BD.

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01/13/2017

BioethicsTV: Violating confidentialty, ethical decision-making, unapproved human experimentation

by Craig Klugman, Ph.D.

Chicago Med (Season 2; Episode 10): In this episode a heart patient returns from a previous episode when a heart is found for a transplant. However, the patient who is 3 years sober had a couple of alcohol shots that morning upon learning that her friend had died. At a meeting of the transplant committee Dr. Latham—the cardiothoracic attending—says that the rules are clear, she must be sober for 18 months before a transplant. Dr. Charles—the psychiatrist—is conflicted, concerned that he misread the patient but also knowing, as he states, that often it takes a slip before a person with an addiction takes recovery seriously.…

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