Tucked inside a sweeping House bill to overhaul the health system is a provision that would require Medicare to pay physicians to counsel patients once every five years. During those sessions, doctors could discuss how patients can plan for such end-of-life decisions as setting up a living will, obtaining hospice care or establishing a proxy to make their health decisions when they are unable to do so.
The end-of-life counseling provision in the House bill is expected to cost a few billion dollars over the next decade. But health policy experts say it could lower medical spending by reducing end-of-life medical care that patients don’t want . . . .
But growing complaints over the provision are leading key lawmakers to conclude that the health overhaul should leave out any end-of-life counseling provisions. A group in the Senate Finance Committee that is attempting to craft Congress’s only bipartisan health bill has decided to exclude such a measure, Senate aides said this week.
Let’s hope lawmakers can be persuaded to change other alarming aspects of the proposed reform.
Of Roots and Adventures
I have lived in Ohio, Michigan, Georgia (twice), Pennsylvania, Alabama (also twice), England, and Idaho. I left…
Our Most Popular Articles of 2025
It’s been a big year for First Things. Our website was completely redesigned, and stories like the…
Our Year in Film & Television—2025
First Things editors and writers share the most memorable films and TV shows they watched this year.…