.- Members of the AARP are leaving by the thousands out of concern for the organizationâs support for President Obamaâs health care reform. While several issues are to blame, many have expressed concern that Section 1233 of HR 3200 gives doctors an incentive to persuade ill patients that assisted suicide is their best option.
CBS reports that 50,000 â 60,000 have left the AARP since July 1, 2009 due to disagreements on Obamaâs health care reform. Even though the AARP does not officially endorse the proposed health care changes, the association is generally seen to be in support of the reform- so much so that even President Obama mistakenly stated last week that the AARP is on board with the administrationâs changes.
One section of the bill that has senior citizens as well as younger Americans concerned is section 1233 of HR 3200 which is titled, âAdvance Care Planning Consultation.â
The text of the bill describes âadvance care planningâ as including a consultation between the patient and his or her doctor in which they would discuss and answer questions including future care, living wills, durable powers of attorney, information about a health care proxy and an explanation about end-of-life services that would be available. These services include, according to the text, âpalliative care and hospice, and benefits for such services and supports that are available under this title.â
Pro-life organizations such as National Right to Life (NRLC) have spoken out specifically about this section of the bill. LifeNews.com reports that the NRLC executive director David O. Steen expressed his concern that the bill could pressure ill patients into giving up treatment.
He noted that the bill makes him uneasy: âit doesn't take a lot to push a vulnerable person â perhaps unwittingly â to give up their right to life-sustaining treatment," he explained.
Jennifer Popik, a medical ethics attorney with NRLC, also mentioned the fear that pushing patients to âprepare advance directivesâ could âbecome a means of persuading or pressuring them to agree to less treatment as a means of saving money."
She added that a 2008 JAMA study found that âpatients who reported having end-of-life discussions received less aggressive medical care."
Attempting to win over those who oppose the bill, President Obama stated at the AARP town hall on July 28 that he believes the bill âis a good thing.â
The President explained that the section actually âmakes it easier for people to fill out a living willâ and noted that it puts the patient in control âso she can say whether or not she wants extraordinary measures to be taken to save her life.â
Obama explained that right now, âmost of us donât give direction to our family members,â so when one becomes ill, ânobody is there to make the decisionsâ and then the doctor, who doesnât know your preference, âis making the decisions.â
Obama said that contrary to many rumors, no one will be forcing anyone to fill out a living will, and âcertainly nobody is going to be forcing you to make a set of decisions on end of life care based on some bureaucratic law in Washington.â
âItâs putting more power, more choice in the hands of the American people and,â he argued, âit strikes me as a reasonable thing to do.â
However, the Presidentâs words have not assuaged everyoneâs fears mainly because Section 1233 was written by two strong pro-euthanasia advocates: Rep. Earl Blumenauer (D-Ore.) and Compassion & Choices.
Oregon Congressman Earl Blumenauer wrote in the Huffington Post on July 28 that he knows âa little bitâ about section 1233 âbecause itâs a bill that I wrote which was incorporated into the overall legislation.â
Blumenauer is also known for being a backer of his stateâs âDeath with Dignityâ law. Oregon was the first state to permit physician-assisted suicide.
Compassion & Choices, formerly known as the Hemlock Society, also had a hand in promoting section 1233.
On their website on Tuesday, Compassion & Choices noted that they have âworked tirelesslyâ to include âa provision requiring Medicare to cover patient consultation with their doctors about end-of-life choice.â
Popik, the ethics attorney with NRLC called it âextremely troubling that Compassion and Choices, the principal group that promotes physician assisted suicide throughout the country is not only aggressively promoting these provisions, but claims responsibility for the inclusion of the main provision.â
She added that âSection 1233 allows assisted suicide and euthanasia to be promoted as an option in the places where it is legal (i.e. Washington, Oregon, and Montana)."