Tuesday, October 13, 2009

Senate Finance Committee Health Care Vote and Hazel Fenton

Today's a big day for the government's health care overhaul, one step closer to a nightmare becoming reality.

WASHINGTON -- President Barack Obama's plan to remake the nation's health care system is about to take its biggest step yet toward becoming reality.

The pivotal Senate Finance Committee was poised to approve sweeping legislation Tuesday requiring nearly all Americans to purchase insurance and ushering in a host of other changes to the nation's $2.5 trillion medical system.

Much work would lie ahead before a bill could arrive on Obama's desk, but action by the Finance Committee would mark a significant advance, capping numerous delays as Chairman Max Baucus, D-Mont., held marathon negotiating sessions — ultimately unsuccessful — aimed at producing a bipartisan bill.

...With Finance Committee passage, Obama's top domestic priority will have advanced farther than former President Bill Clinton's effort ever did. The Clinton health plan never made it through all the congressional committees with jurisdiction.

The final days before Tuesday's long-anticipated vote were rocky. After playing nice for months, the health insurance industry released a report contending that the legislation would cause hefty increases in health insurance premiums.

Democrats and their allies scrambled Monday to knock it down. "Distorted and flawed," said White House spokeswoman Linda Douglass. AARP's senior policy strategist, John Rother, called it "fundamentally dishonest."

PricewaterhouseCoopers, the accounting firm that did the industry-commissioned analysis, issued a statement late Monday acknowledging it did not look at the entirety of the legislation, only the effects of four provisions that the insurance group wanted analyzed.

The drama threatened to overshadow the vote on the 10-year, $829-billion plan that Baucus has touted as the sensible solution to America's problems of high medical costs and too many uninsured.

Why am I not celebrating today's vote?

There's that not so hidden agenda of the health care overhaul, the goal of a single payer system, government-run health care, the public "option."

I don't want the American health care system to degenerate into socialized medicine, a government-run system.

That would be disastrous for the elderly and the seriously and chronically ill -- everyone eventually.

From The Sunday Times:

AN 80-year-old grandmother who doctors identified as terminally ill and left to starve to death has recovered after her outraged daughter intervened.

Hazel Fenton, from East Sussex, is alive nine months after medics ruled she had only days to live, withdrew her antibiotics and denied her artificial feeding. The former school matron had been placed on a controversial care plan intended to ease the last days of dying patients.

Doctors say Fenton is an example of patients who have been condemned to death on the Liverpool care pathway plan. They argue that while it is suitable for patients who do have only days to live, it is being used more widely in the NHS, denying treatment to elderly patients who are not dying.

Fenton’s daughter, Christine Ball, who had been looking after her mother before she was admitted to the Conquest hospital in Hastings, East Sussex, on January 11, says she had to fight hospital staff for weeks before her mother was taken off the plan and given artificial feeding.

Ball, 42, from Robertsbridge, East Sussex, said: “My mother was going to be left to starve and dehydrate to death. It really is a subterfuge for legalised euthanasia of the elderly on the NHS. ”

Fenton was admitted to hospital suffering from pneumonia. Although Ball acknowledged that her mother was very ill she was astonished when a junior doctor told her she was going to be placed on the plan to “make her more comfortable” in her last days.

Ball insisted that her mother was not dying but her objections were ignored. A nurse even approached her to say: “What do you want done with your mother’s body?”

On January 19, Fenton’s 80th birthday, Ball says her mother was feeling better and chatting to her family, but it took another four days to persuade doctors to give her artificial feeding.

Fenton is now being looked after in a nursing home five minutes from where her daughter lives.

Peter Hargreaves, a consultant in palliative medicine, is concerned that other patients who could recover are left to die. He said: “As they are spreading out across the country, the training is getting probably more and more diluted.”

A spokesman for East Sussex Hospitals NHS Trust, said: “Patients’ needs are assessed before they are placed on the [plan]. Daily reviews are undertaken by clinicians whenever possible.”

In a separate case, the family of an 87-year-old woman say the plan is being used as a way of giving minimum care to dying patients.

Susan Budden, whose mother, Iris Griffin, from Norwich, died in a nursing home in July 2008 from a brain tumour, said: “When she was started on the [plan] her medication was withdrawn. As a result she became agitated and distressed.

“It would appear that the [plan] is . . . used purely as a protocol which can be ticked off to justify the management of a patient.”

Deborah Murphy, the national lead nurse for the care pathway, said: “If the education and training is not in place, the [plan] should not be used.” She said 3% of patients placed on the plan recovered.

If this story doesn't concern you and make you fear for the future, it should.

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