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Patrick Hahn

Patrick Hahn
Location
Addis Ababa, Ethiopia
Bio
I used to wash trucks for a living.

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AUGUST 13, 2009 7:20PM

Pulling the plug on Grandma

Rate: 7 Flag

 

The health care debate has revealed a lot about our national character, most of it not very flattering. I’ve watched the clips on YouTube, and I’ve attended two town hall meetings – one of which I wrote about here -- and nothing sums up the prevailing mood as well as some unforgivable demagogic remarks made by Senator Chuck Grassley:

“You have every right to fear…We should not have a government program that determines that you're going to pull the plug on grandma."

In a time of soaring unemployment and record deficits, I cannot for the life of me understand why this vision of elderly people kept alive on respirators is so compelling that people act as if it should be the central organizing principle of society.

  obamacare

Go to the ICU and see the elderly patients with tubes shoved down their throats, and their hands tied to the bed to keep them from ripping the tubes out, and it should be painfully obvious that this is not something we are doing for them. It’s for us – the spare us from having to confront the harsh reality of our own inevitable demise. Too many of us act as if there is always one more procedure, one more operation, one more miracle drug that will keep us alive a little longer. But it is not so.

We all have to die.

The fact we, we are an insanely overmedicated society. This is the main theme of my writing on OS, so I’m not going to bother re-hashing all those arguments here. Interested readers are invited to scan my posts and make up their own minds about this.

  obamacare

There is an old adage that any two sides that fight long enough will switch positions. Wasn’t there a time when conservatives were supposed to believe in self-reliance, in personal responsibility, in limited government? Wasn’t there a time when it was the conservatives who were the ones saying, “Hey, we don’t have an infinite amount of money to spend?”

Nowadays the self-styled “conservatives” don’t seem to believe in much of anything besides the uninterrupted flow to themselves of unlimited taxpayer-funded medical interventions via our socialized healthcare system for the elderly – without even bothering to ask whether those interventions are doing any net good.

These people railing at the town meetings remind me of whiny little babies, discovering for the first time that you can’t get everything you want.

 

Both of my grandmas are long gone. My mother has been dead for four years now. If she were still alive today, she would be eighty years old. Suppose that were the case, and suppose she were hooked up to a respirator, and some “government bureaucrat” asked me if I wanted to “pull the plug.” Know what I’d say?

HELL YES! PULL THE DAMN PLUG AND LET HER DIE IN PEACE! IN FACT IF YOU DON’T, I’M GOING TO SUE YOUR ASSES OFF! WHAT THE HELL WERE YOU PEOPLE THINKING?

Fortunately, that will never happen. My mother knew there are more important things than clinging to life at all costs. They don’t make ‘em like that anymore.

Kakum National Park

Mom

 
















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I've gotta say, I admire the way Senator Specter waded into the crowd and took charge of the situation. The exact opposite of Senator Kerry standing by helplessly while the cops tazed that poor kid.
I am very good to see these videos here. I am proud Spector handled it so well, and I still want health care to pass so I can have some. Good post patrick.
I freely admit it probably would break the bank to extend the same level of overmedicalization to everybody in society, but that's not what I have in mind at all. What I have in mind is a single-payer health care system based on evidence, that pays for interventions which have been shown to produce clinically significant benefits. If people want acupuncture or chiropractic or mammograms or colonoscopies, let 'em pay for those procedures themselves.
The fact is that there is no death panel. The guy who put it in the bill is co sponsored by a Republican for Christ's sake. It doesn't have anything to do with pulling the plug on granny. It's just in there to cover end of life counselling. Anyone that believes anything else is either misinformed or in denial of the facts.
Well, the whole point of end-of-life counseling is to discontinue treatment (i.e., "pull the plug" in common parlance) for people whose lives have no meaning to them. Which is a goal I completely support.
Senator Grassley is an ASSHOLE. Someone should pull the plug on him.
I remember seeing those pictures of your Mom in an earlier post. She sure must have been a very special person! I appreciate the different approach to this subject....very interesting!
Agree with Patricia K. Nice spinning !
This whole end-of-life fiasco is so misconstrued. First of all, there is no proposed government program to do anything but fund the discussion, something families do anyway. What a disingenuous jerk Grassley is to allow that woman and others to misunderstand. Bringing up the "illegals" just makes my blood boil. Jesus these people are stupid.

On the whole topic of rationing, it's a provocative, difficult topic, but it's something that happens whether we talk about it or not. Currently insurance companies and the general policies of the country that widen the gap b/t rich and poor are already resulting in rationing.

Interestingly, I specifically thought that Specter was terribly ineffective. You're right about his wading into the crowd--that seems important. But his "Wait a minute" over and over seemed like a broken record and just woefully inadequate. Why the hell didn't he say or do something different? I would have told the man firmly that he would be allowed to speak if he waited his turn. If he continued to disrupt, then he would have to be kicked out until he could come back in without disruption. (Can you tell I'm a teacher?)
Every economic system is a system of rationing goods and services, because our desires are infinite and our ability to satisfy them is not.

Thanks to everyone for your comments.
The last 3 years of my father's life was spent between dialysis, the E.R., hospitals and nursing homes. Even with medicare, the cost to keep his body going long after his mind had taken an extended vacation was over $750,000. He'd gone from 185 to 130 pounds, then broke his hip was having hallucinations and his left lung collapsed. At 84 he had lived a very good life, but it was time to let him go, so we made the decision to take him off the dialysis...and you should have heard the Dr. YELL at me, while several others gave me high praise for having the guts to do the "right" thing.

I have an advanced health care directive which states that if I'm so out of it, I don't know what a vibrator is for, then pull the damn plug, life is no longer worth living!!!!
To Raven:

Thanks for sharing that. That story sounds like it deserves its own post.
I've said before that medicine has become the modern-day substitute for religion. Did anyone notice Grassley's half-hearted, pro-forma acknowledgment of "Life everlasting through Jesus Christ?" And the elderly crowd's half-hearted, pro-forma applause? Then they got right back to the business at hand, the medical establishment, which is where they pin their true hopes for life everlasting.
That first video killed off my last remaining brain cells though I am glad that Specter went into the crowd but he seemed ineffective at best.

I think I may have mentioned before how my grandmother was kept alive for years, against her wishes, due to the need of one person to extend her life at all cost. She was unconscious, hooked up to feeding tubes and frequently breathing tubes and dialysis machines. She should have been allowed to die years prior.

End of Life counseling isn't just about choosing not to continue care. It's also about making educated decisions regarding when or if it's time for a hospital, hospice or home and frequently involves making decisions about Power of Attorney and other necessities. Those who insist that this is about killing granny are woefully and deliberately uninformed. Kind of like saying choosing a dentist is being pro-cavity.

Rated.
Thanks for sharing that. That story sounds like it deserves its own post.

The crux of the matter is, you can't discuss the allocation of health care resources without facing the harsh truth that we all have to die of something. And that's the whole problem. These people don't want to be told that. There's always got to be one more pill, one more operation, one more procedure that will enable them to go on living, forever.
I think everyone has the right to choose for themselves when enough is enough. To not allow people the means to make that decision is just wrong. I heard on NPR the other day (it's the only station we can get in the car when we're sick of the classic rock) a woman called in with her story about why she's against the end of life counseling provision and it's because when her mother died the hospital wouldn't let her change her mother's written wishes to be taken off life support. Basically, she's upset that her mother had written down (no priest, no respirator) the opposite of what she the daughter wanted for her mother instead. It's selfishness, that's all it is. Instead of accepting that her mother wanted things a certain way, she's blaming the hospital, the doctors, and the health care debate that she couldn't make the situation what she wanted it to be. And I hear that echoed in a lot of the protesters' comments.
It's ridiculous that middle-aged people need it explained to them that they won't always have their mothers around.

Death is life's bitterest fact, no doubt about that. But I don't see we make it any better by refusing to face it. And that's what this debate is about -- people unwillingness to face the inevitability of death.

The only remedy I can think of is to let the ones you love know it today. Tomorrow may be too late.

Thanks for commenting.