http://www.democraticunderground.com/discuss/duboard.php?az=show_mesg&forum=439&topic_id=119605&mesg_id=119819My hometown, La Crosse, WI, and "Death Panels"
http://www.npr.org/templates/story/story.php?storyId=12...The story is entitled: "Why This Wisconsin City Is The Best Place To Die"
Now, anytime a doctor in this large health system pulls up their records, their wishes for end-of-life care will be prominently displayed. The result of all this attention is that nearly all adults who die in La Crosse, 96 percent of them, die with a completed advance directive. That's by far the highest rate in the country.
Bud Hammes, the medical ethicist who started Respecting Choices, says "We believe that our patients deserve to have an opportunity at least to have these conversations."
But it's expensive to spend time with patients filling out living wills. Medicare doesn't reimburse for the time the hospital's nurses, chaplains and social workers do this. Bud Hammes, the medical ethicist who started the program, called Respecting Choices, says it costs the hospital system millions of dollars a year. "We just build it into the overhead of the organization. We believe it's part of good patient care. We believe that our patients deserve to have an opportunity at least to have these conversations."
And that's how La Crosse unexpectedly got in the middle of the national debate over health care and the so-called "death panels."
And so the concessions and compromises on health care begin this year.