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Posts Tagged ‘Center for Practical Bioethics’

POLST TPOPP pink formA medical form targeting the elderly and chronically ill is being heavily pushed in Kansas by the Center for Practical Bioethics (more on this group in this post).

However, a new formal opinion from the Kansas Attorney General, Derek Schmidt, verifies that in two distinct areas the form contravenes current statutes that protect patients!

At a press conference Wednesday hosted by Kansans for Life, (see press release here) Rep. John Rubin (R-Shawnee), who had requested the A.G. opinion,

labeled the TPOPP form “misleading” and “deficient” and asked that it be recalled.

TPOPP is the acronym for “Transportable Physician Orders for Patient Preferences.” Its stated objective is to “improve the quality of care people receive at the end of life by translating patient/resident goals into medical orders.” TPOPP is printed on ‘hot-pink’ paper and is designed to be a permanent part of the patient file in all settings.

TPOPP is a form aligned with similar documents in other states supervised by a private entity, the National POLST Paradigm Task Force. These forms use a series of check boxes to indicate:

  1. whether the patient should be resuscitated (DNR),
  2. which of three basic levels of medical care a patient should receive, and
  3. whether the patient will get medically administered food and water.

It is items 1 and 3 where TPOPP runs afoul of Kansas law.

Under Kansas law, a  directive for DNR (Do Not Resuscitate) requires a witnessed and signed document excluding those who might financially gain by the death of the patient (K,S,A, 65-4943). TPOPP skirts these patient protections as well as eliminating the physician’s immunity from liability for not resuscitating–provided by a legal DNR under K.S.A. 65-4944.

Also, under Kansas law at K.S.A. 59-3075 (e)7), specific prerequisites are needed before guardians may withhold or withdraw life sustaining care.  TPOPP ignores this statute.

In essence, TPOPP purports to be physician orders, but it crosses over into legal areas– putting patients’ lives, and physicians’ careers, at risk.

WARNING
Unfortunately, significant medical groups and facilities across the state that should have been more vigilant and responsible, have already become partners and promoters in implementing TPOPP. (See list) Kansans for Life is notifying hospitals, medical facilities and physician groups about this new Attorney General opinion.

If you or someone you know has filled out a TPOPP form, you should seek counsel immediately on the legal effectiveness of this form. Patients, doctors and other health care professionals should be aware of the legal uncertainty that TPOPP presents.

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Update, Jan.5: Obamacare death panels removed after pro-life backlash.

The euthanasia watchdogs at LifeTree.com released disturbing news Friday that the Sebelius-led HHS is reinstating mandatory end-of-life counseling in the implementation of Obamacare.

After the public outcry last summer about such counselingcalled ‘pulling the plug on granny‘– the offending section was removed.

Smart observers, conservative and liberal, recognize that government single-payer insurance (like that of Canada and the U.K.) will necessarily search for mechanisms to reduce the number of medically-expensive elderly and disabled.

Such is the preoccupation of the Kansas City-based Center for Practical Bioethics [CPB], headed by (more…)

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Oklahoma U.S. Senator, and physician, Tom Coburn is warning about the disasters lurking in the senate health proposals.

Because MEDICAID already underpays doctors, he says, the expansion of those eligible for Medicaid (ushered in by the new Reid-Nelson agreement) will further backlog those already waiting to see the limited number of doctors (in Kansas, more than 15,000 patients). Maryland auditors say their backlog of 17,000 resulted in 250 patient deaths.  Coburn also warns:

“Seniors will die sooner if Congress actually implements the MEDICARE cuts in the health-care bill …rationing provisions (more…)

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The popular online science and policy digest MercatorNet published Time mag killing grannyopposing editorials on end of life care today.

The pro-rationing piece was authored by bioethicist Summer Johnson, and approved by Kansas Board of Healing Arts member, Myra Christopher, who heads the sophisticated euthanasia movement at the Center for Practical Bioethics in Kansas City, Missouri.

Veteran pro-life nurse, Nancy Valko, detailed a variety of concerns in her outstanding rebuttal.  Valko said she has witnessed how hospital ethics committee discussions have devolved from ‘what is right’ to ‘what is legal’. Valko knows from her work in the trenches, how deeply the health care industry has fallen into a death panel/ utilitarian (more…)

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The federal government’s move to take over health care is clearly an unconstitutional power grab.   What is even more alarming– beyond the deeply embedded abortion agenda– is how culture of death agents, including one group from Kansas City, have seized these reforms as opportunities to establish further footholds.

ptdownhill

The new, nearly-2,000 page, Pelosi House bill will increase tax funding for Planned Parenthood, IVF, destructive embryonic research and includes (yes, Sarah Palin fans) death panels . The groundwork for the panels comes to us courtesy of, by their own admission,
25 years of
work by the Center for Practical Bioethics.

CPB has shown itself utilitarian, bragging that insurers cite them for lowering health care rates in the KC area.  Translation: less insurance money was used when more patients were convinced they didn’t want (or deserve) life-sustaining care. (more…)

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