Former Alaska Gov. Sarah Palin was criticized for mentioning that the provision for medicare paying for end-of-life counseling would lead to having govenment death panels who would decide who continues to be cared for.
Although it seems far fetched, we should heed the former governor's foresight as a warning. Before I look at this issue, I have an objection to this special provision for end-of-life counseling.
Forgive me for my lack of familiarity with this issue but there may be other issues to consider. Families always make end-of-life decisions together with their doctors. They sometimes even involve clergy and trusted friends. What would be the purpose of this counseling then? Is it to make sure families have information about pallative care options, including hospice? If that is the concern, I don't see it as a good use of taxpayer money to push for hospice. Don't get me wrong, I believe that pallative care is a good thing, and I am not for letting life go on at all cost. Life-saving measures are not always comfortable, and there is sometimes no hope for a decent quality of life. Let hospice advertise for itself.
Let me tackle now the former governor's warning. It may not be apparent but there are considerations that may lead to her concern that government would someday decide who lives and who dies. Remember that whoever is footing the bill gets to decide how money is spent. I can foresee a case where medicare, because of lack of funds, may instruct the counselor to push for pallative care when there is still hope for healing using aggressive medical treatment. The counselor would then apply pressure on the patient to give up the possibility of healing. It doesn't matter what the doctor says in the end because the government holds the money and can choose to withhold it if its desires are not granted.
Some may say this is preposterous. However, remember that the government values the good of "all". The value of different bureaucrats vary. There may be bureaucrats who don't value human life as much as other bureaucrats. Therefore, they will be more willing to trample on the rights of the individual for the good of "all." The good of "all" is having enough resources for everybody.
I believe that everyone should be educated on end-of-life issues. However, we should not depend on government to get that information across. Private organizations, like the church, should step up and take responsibility for talking to people about end-of-life issues.