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Palliative services are designed to help patients and their families sort through their options - ome of which may help restore the patient, while others may increase suffering for a minimal health benefit.
Living wills and advance directives were the hope for end-of-life decision-making decades ago. But a 2004 survey by FindLaw found that 36 percent of Americans have a living will, and even when people have filled out living wills, doctors often ignore them.
In the era of modern medicine, there is often no easy way to navigate between an acceptable quality of life and a death with dignity. But palliative care specialists, relatively new players on the health care scene, offer comfort, support, pain control and, if requested, spiritual counsel, helping people sort through often confusing and ambiguous medical options.
There are exempt insurance practices that, at least in theory and under certain conditions, could help insurers defend and expand their market share against competitors. But the exemption simply does not shield the most straightforward kinds of conduct by which companies get big.
A proposed tax on high-cost insurance plans could make it more difficult for small businesses to purchase health coverage. Even though many businesses don't offer rich benefits, their plans may be costly because the covered employees are predominantly older, sicker or female, three categories that currently result in higher premiums. Other provisions in health overall legislation could mitigate the impact of the tax, however.
This video highlights President Obama's new proposal for health reform, which includes changes to what he calls the "worst practices" of insurance companies and efforts to control rising health care costs.
President Obama presented his new proposal on health reform Wednesday afternoon. Read his full speech here.
The White House released selected remarks in advance of the President's speech later this afternoon.
Former Senate Majority Leader Tom Daschle says Democrats need to seize the moment to pass a sweeping health care overhaul. He's "confident" House Speaker Nancy Pelosi will get the votes to pass the bill.
The President's letter to congressional leaders highlighted what he called areas of agreement between the Democrats and the Republicans on health reform proposals.
Many patients seeking mental health treatments, such as Denise Camp of Baltimore, have been forced to pick up a bigger share of the cost than they do with other medical bills. But a law that went into effect Jan. 1 prohibits such double standards.
House and Senate Democratic leaders continue to determine support in their chambers for moving health care legislation by using the budget reconciliation process, which would allow the measure to be approved in the Senate by 51 votes rather than a filibuster-proof 60 vote margin.
While Democrats and Republicans are at odds over much of health reform, they do agree that insurers should not be allowed to retroactively cancel health insurance policies. Capitol Hill watchers say the practice could be outlawed within a few months.
House and Senate Democratic leaders continue to determine support in their chambers for moving health care legislation by using the budget reconciliation process, which would allow the measure to be approved in the Senate by 51 votes rather than a filibuster-proof 60 vote margin. President Obama is expected to announce some changes to the health care plan he unveiled last week that is hoped to bring more support for the package.
A directive passed last November in Tulsa, Okla., raises fresh questions about the ability of patients to have their end-of-life treatment wishes honored - and whether and how a health care provider should comply with lawful requests not consistent with the provider's religious views.
The White House health summit looks to this observer as a draw. Neither side scored any knockout blows.
The White House transcript of yesterday's remarks from the health care summit convened by President Barack Obama.
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