‘This Week’ Roundtable: Palin Controlling the World Through Facebook

Thank god the American people chose NOT to elect a backwoods Cracker as VP. (Imagine how embarrassing it wound have been to explain her excessive winking to Middle East ambassadors who would have interpreted her behavior as a sexual come-on)Sarah lacks the diplomatic polish that high office demands. She uses her HUNTING mentality to take potshots at people who have displeased her.(Her ex-brother-in-law, her daughter'ex-boyfriend, His family,the people who brought her up on abuse of her Office...the list goes on). The decent people of Alaska deserved better than what they had with her and her buddy, Ted Stevens. Anyone who would even listen to,much less, admire this predatory being, is beyond compehension. We need a kinder,gentler world in which to raise our children. Cetainly not one where gun-nuts like her are touted for any elected office.

I don't know about the American Collage of Surgens, but doesn't the American College of Surgeons support HR 3200?

SARAH PALIN is really not saying much of anything"She is putting up documents from other sources like THE AMERICAN COLLAGE OF SURGENS ,and other documents allowing people to be informed through these postings!

“A family is dealing with the situation of a family member dying, and that equates to a colonoscopy for cancer screening? I don't see the similarities.”

KR, who said the patient has to be dying?

“’She's smart.’ That's from a Palin enemy that actually knows her from Wasilla.”

That makes perfect sense. One of the definitions of the word “smart” is: a sharp local pain, usually superficial.

"I don’t understand the objection to doctors getting paid by Medicare for their services in this area. Some people say they just don’t want government involved. Well then, what about colonoscopies?"

A family is dealing with the situation of a family member dying, and that equates to a colonoscopy for cancer screening? I don't see the similarities.

"Sara[sic] Palin is nothing but a NUT JOB TRYING TO STAY IN THE SPOT LIGHT"

If you want to see what a real nut job looks like, Google "Rahm Emanuel knife table" (without the quotes). As for Sarah Palin being an idiot (the meme of the ignorant conservative never gets old with the left), Google, "Anne Kilkenny Palin letter" (without the quotes) and note the line, "She's smart." That's from a Palin enemy that actually knows her from Wasilla.

But, hey, if you guys would really rather believe that an ignorant and stupid "nut job" (along with other ignorant and stupid "nut jobs" - like I said, that meme never seems to get old with the left) can so easily derail President Obama's healthcare agenda despite the fact that his party controls both houses of Congress with significant majorities, knock yourself out, because what does that say about him and the Democrats in Congress?

I don’t understand the objection to doctors getting paid by Medicare for their services in this area. Some people say they just don’t want government involved. Well then, what about colonoscopies? I do believe Medicare currently pays doctors to perform them. Why isn’t there a big uproar about government being up our behinds? That’s pretty personal too.

Why do we need to pay or provide physicians an additional incentive to talk to their patients about end of life issues...?? Doesn;t this come wit the territory of being the trusted advisor in the most private and sensitive moments of ones life..indeed the end of it...why must we let government have a hand in this area? Those that want this..are knowningly or unknowingly opening the door to the most private area of life to the government in some way or fashion..even if the intentions are good..the results will inevitably be bad...too much government already...we don;t need government involved in or giving incentives for Drs to advise patients about these things. What next?...Incentives for Dr.s to advise couples how many children they should have...? or perhaps incentives to counselors to have discussions with their patients regarding marriage (yea or nay)..etc....

"He describes such conversations as sensitive and time-consuming since they delve into the “nitty gritty” details: whether patients want to use ventilators to breathe, defibrillation to restart their hearts or feeding tubes for nourishment. He says the discussions are best done with a trusted physician who has developed a relationship with the patients. Family members are also sometimes involved, he says."

This should be a family matter and it should stay that way. Just my opinion.

Sara Palin is nothing but a NUT JOB TRYING TO STAY IN THE SPOT LIGHT.

Excerpt from another article in Kaiser Health News that includes actual wording from section 1233 regarding consultation discussion topics:

Advance Care Planning Consultation

‘(hhh)(1) Subject to paragraphs (3) and (4), the term ‘advance care planning consultation’ means a consultation between the individual and a practitioner described in paragraph (2) regarding advance care planning, if, subject to paragraph (3), the individual involved has not had such a consultation within the last 5 years. Such consultation shall include the following:

‘(A) An explanation by the practitioner of advance care planning, including key questions and considerations, important steps, and suggested people to talk to.

‘(B) An explanation by the practitioner of advance directives, including living wills and durable powers of attorney, and their uses.

‘(C) An explanation by the practitioner of the role and responsibilities of a health care proxy.

‘(D) The provision by the practitioner of a list of national and State-specific resources to assist consumers and their families with advance care planning, including the national toll-free hotline, the advance care planning clearinghouses, and State legal service organizations (including those funded through the Older Americans Act of 1965).

‘(E) An explanation by the practitioner of the continuum of end-of-life services and supports available, including palliative care and hospice, and benefits for such services and supports that are available under this title.

‘(F)(i) Subject to clause (ii), an explanation of orders regarding life sustaining treatment or similar orders, which shall include--

‘(I) the reasons why the development of such an order is beneficial to the individual and the individual’s family and the reasons why such an order should be updated periodically as the health of the individual changes;

‘(II) the information needed for an individual or legal surrogate to make informed decisions regarding the completion of such an order; and

‘(III) the identification of resources that an individual may use to determine the requirements of the State in which such individual resides so that the treatment wishes of that individual will be carried out if the individual is unable to communicate those wishes, including requirements regarding the designation of a surrogate decisionmaker (also known as a health care proxy).

Section 1233 goes on to describe how to apply these regulations based on state laws, what the bill means when referring to "practitioners", how often Medicare will reimburse for a consultation, the effective date of the provisions (Jan. 1, 2011), items on a physician quality reporting initiative and inclusion of language in the "Medicare & You Handbook."

"The right-wing was undoubtedly hoping that Sarah would be the successor to Bush. That having failed she has become the successor to Rush."

Best line on the thread

Sara Palin was for it and there is no way to spin you nutty Repubicans. just like she was for the Bridge to where before she was against.

KR, here is more from that Kaiser Health News article:

Dr. Ted Epperly, president of the American Academy of Family Physicians, often has advance end-of-life conversations in his work as a family physician and geriatrician in Boise, Idaho. He says the discussions can protect patients from having costly procedures done against their will.

He describes such conversations as sensitive and time-consuming since they delve into the “nitty gritty” details: whether patients want to use ventilators to breathe, defibrillation to restart their hearts or feeding tubes for nourishment. He says the discussions are best done with a trusted physician who has developed a relationship with the patients. Family members are also sometimes involved, he says.

To start such a conversation, Dr. Diane E. Meier, an internist and director of the Center to Advance Palliative Care in New York City, says she asks her patients what they would want if they were hit by truck and in a coma or a situation where they were not expected to recover sufficiently to be aware of their surroundings. Some say they would want everything possible done to prolong life, But roughly nine out of 10 of her patients say they would want care to be focused on their comfort – not sustaining life - if their brain was not functioning, according to Meier.

Dr. Gene Rudd, an ob-gyn and senior vice president of the Christian Medical & Dental Associations, said such conversations are part of good health care and should be encouraged. However, he worries that the provision could require that physicians use standardized language to counsel patients.

“It’s nothing novel here,” he said. “The novelty is the government then may be deciding that it can say what ought to be said in those sessions, not the fact that they ought to have these sessions and these discussions. It’s standard care.”

Still, health professionals say, these discussions are too rare....
...to have an in-depth end-of-life consultation."

What exactly is this? What is it that they have to say, that they don't say? in-depth end-of-life consultation is what exactly? Clearly, there is the family responsibility to make a decision. There is the doctors responsibility, which they do, to notify the family of the prognosis and treatment outcome possibilites. What is missing that needs "consultation" from a doctor? Are they talking about a psycheatric care here? What is this "discussion" exactly?

Yeah, right..."controlling the world through Facebook.."

Palin can barely think her way around any issue, how do you assert such a ridiculous notion. Once again, a headline where the story contradicts it completely. Don't be such a hack, Jack. I still think you are better than this...

Sarah - who?

Excerpt from Kaiser Health News, Aug 14, 2009

Still, health professionals say, these discussions are too rare. That's largely because Medicare doesn't explicitly pay for the service, discouraging doctors from taking the time to talk with patients about the issues. Private insurance companies often base their own payment policies on Medicare's.

Currently, physicians generally classify the conversations under a funding code covering counseling and discussion of issues such as marital problems and depression associated with a job loss, Epperly says.

Medicare typically pays $92.33 for a 40 minute consultation, which Epperly says “drastically underpays for the complexity and the importance of this discussion,” adding that the creation of a new code - as called for in the House bill - would better value its importance.

Under the current payment system, Epperly notes, doctors could see five patients or complete a more lucrative procedure in the time it would take them to have an in-depth end-of-life consultation.

Sarah wins again!

But didn't one historian say Obama is the smartest President ever? (How would he know but hey facts are the funniest things.)

Brazile does her best to circle the ponies with a tangent that fails on basic logic but give her credit for trying.