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Hattie commented on The Gentle Path

Hi Ken,  I interviewed Dr. Lynn for my book but did not know about her Medicare option proposal.  I interviewed another physician who has since retired from an large payer who told me my idea would not get past the lawyer lobby in DC.  This is because The Gentle Path Plan might include forfeiting the right for a family to sue.  While we need the policy change, we probably need my cohort (I am 65) and those older than me to fight for this from the grassroots.  The power players are deeply invested in what they are doing now.  For example, hospitals make tons of $$ doing things that don't need to be done.  This might have to become like the organic food movement.  Consumer demand forced the power players to change.  For the many who are frail and poor, we could identify and reward care settings who are committed to the Gentle Path as so many are not.  One nurse friend "fought" with an assisted living place to respect her mother's DNH--do not hospitalize--order which was ignored at least three times.  If this were easy the problem would have been solved so we just have to keep at it!


Hattie commented on "Advance care planning" conversations

Good for Dr. Meier.  She is a thought leader and real champion for the best care.


Hattie commented on Coming close to death

In the US as patients we have the right to start and stop interventions.  Make sure the person who want to turn off their pacemaker is the one speaking.  If not, has that person a designated proxy who was given that instruction specifically who will tell the physicians it is time to let go.  The person may need to find a palliative care physician to assist.  Again, in the US we can fire physicians who won't do what we ask them to do.