Friday, August 21, 2009

On Behalf Of A Grateful Nation....

If you have ever attended a Military funeral, there are some key elements to the ceremony. Six military pallbearers lead by an NCO place the flag draped coffin of the deceased over the grave. The bugler, rifle detail, and funeral detail commander take up their place parallel to the casket. All standing at attention while the burial prayers are spoken. At the end of the prayer, 3 volleys are fired from the 7 man rifle detail, after which the bugler blows TAPS. The flag is lifted and triangularly folded by the pallbearers. The detail NCO presents the folded flag to the detail commander. At this point the detail commander solemnly paces over to the next of kin of the deceased and presents the flag, while speaking the words " I present this flag to you on behalf of a grateful nation". This is the rendering of final honors by our military for those who have served in the armed forces of our country.

Our living veterans, some whom bear for a lifetime, the wounds,amputations,scars,blindness and illnesses, received while in the service, deserve so much better than what is under current discussion. The veterans who served and were fortunate to go unscathed have earned the gratitude of our nation. They should be cared for in the fullest extent,until the end of their natural days. Without these men and women, who answered the call of the nation, we would not have the freedom they purchased for us.

Now we have Obama.......despicable. The only word befitting even contemplating the policy they talk about in Washington D.C.

Our vets deserve better. All Americans deserve better.

Steve

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The Death Book for Veterans
By JIM TOWEY
http://online.wsj.com/article/SB10001424052970204683204574358590107981718.html

If President Obama wants to better understand why America's discomfort with end-of-life discussions threatens to derail his health-care reform, he might begin with his own Department of Veterans Affairs (VA). He will quickly discover how government bureaucrats are greasing the slippery slope that can start with cost containment but quickly become a systematic denial of care.

Last year, bureaucrats at the VA's National Center for Ethics in Health Care advocated a 52-page end-of-life planning document, "Your Life, Your Choices." It was first published in 1997 and later promoted as the VA's preferred living will throughout its vast network of hospitals and nursing homes. After the Bush White House took a look at how this document was treating complex health and moral issues, the VA suspended its use. Unfortunately, under President Obama, the VA has now resuscitated "Your Life, Your Choices."

Who is the primary author of this workbook? Dr. Robert Pearlman, chief of ethics evaluation for the center, a man who in 1996 advocated for physician-assisted suicide in Vacco v. Quill before the U.S. Supreme Court and is known for his support of health-care rationing.

"Your Life, Your Choices" presents end-of-life choices in a way aimed at steering users toward predetermined conclusions, much like a political "push poll." For example, a worksheet on page 21 lists various scenarios and asks users to then decide whether their own life would be "not worth living."

The circumstances listed include ones common among the elderly and disabled: living in a nursing home, being in a wheelchair and not being able to "shake the blues." There is a section which provocatively asks, "Have you ever heard anyone say, 'If I'm a vegetable, pull the plug'?" There also are guilt-inducing scenarios such as "I can no longer contribute to my family's well being," "I am a severe financial burden on my family" and that the vet's situation "causes severe emotional burden for my family."

When the government can steer vulnerable individuals to conclude for themselves that life is not worth living, who needs a death panel?

One can only imagine a soldier surviving the war in Iraq and returning without all of his limbs only to encounter a veteran's health-care system that seems intent on his surrender.

I was not surprised to learn that the VA panel of experts that sought to update "Your Life, Your Choices" between 2007-2008 did not include any representatives of faith groups or disability rights advocates. And as you might guess, only one organization was listed in the new version as a resource on advance directives: the Hemlock Society (now euphemistically known as "Compassion and Choices").

This hurry-up-and-die message is clear and unconscionable. Worse, a July 2009 VA directive instructs its primary care physicians to raise advance care planning with all VA patients and to refer them to "Your Life, Your Choices." Not just those of advanced age and debilitated condition—all patients. America's 24 million veterans deserve better.

Many years ago I created an advance care planning document called "Five Wishes" that is today the most widely used living will in America, with 13 million copies in national circulation. Unlike the VA's document, this one does not contain the standard bias to withdraw or withhold medical care. It meets the legal requirements of at least 43 states, and it runs exactly 12 pages.

After a decade of observing end-of-life discussions, I can attest to the great fear that many patients have, particularly those with few family members and financial resources...

If President Obama is sincere in stating that he is not trying to cut costs by pressuring the disabled to forgo critical care, one good way to show that commitment is to walk two blocks from the Oval Office and pull the plug on "Your Life, Your Choices."...

1 comment:

  1. Our dead in WWII was 415,000. The immediate relative of a fallen comrade should receive $250,000. The total payment in todays dollars would be $103 billion, 750 million from a grateful nation. No loyal American would begrudge that. Chicken feed in Obama's give-away programs.

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