On Aug 19, 2009, at 5:46 AM, Charles Bennett wrote:

> What is the motivation of the doctor?    He argues that he is required
> to take all preventive and rehabilitate measures unless ordered not to
> by the patient or person with responsibility.

He could be right.
My  sister trained in California but now runs a hospital in  
Washington. I think she told  me there is a lot of variation from  
state to state in the amount of discretion that medical personnel can  
exercise in deciding that any given treatment is inappropriate.

I have heard way to many horror stories to doubt that there are cases  
where physicians perform needless procedures to get paid. On the other  
hand, my wife had an experience where an emergency room physician  
tracked her down in the middle of the night to say I hope you have  
medical power of attorney and can order me not to do this elaborate  
procedure which might prolong your mothers life but won't prolong her  
active and conscious life.

> I don't know that I want the government making those decisions either

You've been duped by the right wing again. None of the proposals that  
they are fighting incorporated 'government' making end of life  
decisions in any form. On the other hand, Sarah and her allies have no  
problem at all with government making end off life decisions so long  
as they always decide to mandate the most  expensive and invasive  
course of treatment. See Terri Schiavo. They do not believe for a  
minute[1] that individuals and families should be making their own end  
of life decisions and the effect of  their intervention was to  make  
it harder and more expensive for them to do so.

[1]  I know that as governor Palin signed a proclamation supporting  
end of life planning but I don't consider that dispositive of her  
actual beliefs.
---
Just because they're good at propaganda doesn't mean we have to be  
good at stupid.
-Marty Kaplan

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