Is this bill going to euthanize my grandmother? What are we talking about here?

What we're talking about in the health care debate mark-up, one of the things I talked about was that the most money spent on anyone is spent usually in the last 60 days of life and that's because an individual is not in a capacity to make decisions for themselves. So rather than getting into a situation where the government makes those decisions, if everyone had an end-of-life directive or what we call in Georgia "durable power of attorney," you could instruct at a time of sound mind and body what you want to happen in an event where you were in difficult circumstances where you're unable to make those decisions.

This has been an issue for 35 years. All 50 states now have either durable powers of attorney or end-of-life directives and it's to protect children or a spouse from being put into a situation where they have to make a terrible decision as well as physicians from being put into a position where they have to practice defensive medicine because of the trial lawyers. It's just better for an individual to be able to clearly delineate what they want done in various sets of circumstances at the end of their life.

How did this become a question of euthanasia?

I have no idea. I understand -- and you have to check this out -- I just had a phone call where someone said Sarah Palin's web site had talked about the House bill having death panels on it where people would be euthanized. How someone could take an end of life directive or a living will as that is nuts. You're putting the authority in the individual rather than the government. I don't know how that got so mixed up.

You're saying that this is not a question of government. It's for individuals.

It empowers you to be able to make decisions at a difficult time rather than having the government making them for you.

The policy here as I understand it is that Medicare would cover a counseling session with your doctor on end-of-life options.

Correct. And it's a voluntary deal.

It seems to me we're having trouble conducting an adult conversation about death. We pay a lot of money not to face these questions. We prefer to experience the health-care system as something that just saves you, and if it doesn't, something has gone wrong.

Over the last three-and-a-half decades, this legislation has been passed state-by-state, in part because of the tort issue and in part because of many other things. It's important for an individual to make those determinations while they're of sound mind and body rather than no one making those decisions at all. But this discussion has been going on for three decades.

And the only change we'd see is that individuals would have a counseling session with their doctor?

Uh-huh. When they become eligible for Medicare.

Are there other costs? Parts of it I'm missing?

No. The problem you got is that there's so much swirling around about health care and people are taking bits and pieces out of this. This was thoroughly debated in the Senate committee. It's voluntary. Every state in America has an end of life directive or durable power of attorney provision. For the peace of mind of your children and your spouse as well as the comfort of knowing the government won't make these decisions, it's a very popular thing. Just not everybody's aware of it.

What got you interested in this subject?

I've seen the pain and suffering in families with a loved one with a traumatic brain injury or a crippling degenerative disease become incapacitated and be kept alive under very difficult circumstances when if they'd have had the chance to make the decision themself they'd have given another directive and I've seen the damage financially that's been done to families and if there's a way to prevent that by you giving advance directives it's both for the sanity of the family and what savings the family has it's the right decision, certainly more than turning it to the government or a trial lawyer.

He's so going to be in trouble.

It turns out that Isakson got the point on the Schiavo mess too. Oddly enough it turns out that the wholoe state ofGeorgia is a hotbed of euthanasia activism:

Georgia Senator Johnny Isakson will kickoff Health Care Decisions Week Monday, Nov. 7, 2005, at 10 a.m. in the Capitol South Atrium.

Senator Isakson will publicly sign a personal “Directive for Final Health Care” to urge Georgia citizens to talk with their families and loved ones about their personal wishes for final health care. The “Directive For Final Health Care” is a recognized form of advance directive, used for legally documenting final health care wishes. Joining Senator Isakson in signing a Directive For Final Health Care will be State Representative Nan Orrock, State Senator Judson Hill, Gary Nelson, President of Healthcare Georgia Foundation, Dr. Jack Chapman, Board Chairman of Medical Association of Georgia, and Maria Greene, Director of Georgia Division of Aging Services.

Isakson said the Terri Schiavo case is a wake-up call to how important it is to sort out end-of-life decisions “I believe it is every person’s right and responsibility to make sure their loved ones are prepared to make decisions on their behalf by discussing and documenting their wishes," he said. "It is my sincere hope that all Georgians will join me in following the lead of the Georgia General Assembly’s Resolution and make their final wishes known.”

Why is the state of Georgia trying to kill your grandmother? Where will it end?

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