BY FRANK KAVANAUGH, PH.D.
After many teasers and disappointments for doctors and patients, an important change is in the cards. Medicare will start compensating physicians for end-of-life dialogues with their patients effective Jan. 1, 2016. No longer will these urgent appointments be scheduled under the guise of addressing some other issue. Without payment, doctors have resisted such talks: They are difficult and lengthy and have traditionally incurred lost income for the physicians. The fact that they were not compensated also subtly gave the impression that the talks were not really regarded as all that important.
January will mark a dramatic change. Doctors won’t have to rush through their comments and their listening on the run, concerned about their bottom line, utilizing their time only in “other†talks that pay.
Patients need now to openly and boldly request a dialogue to help clarify and share their final wishes and options, so that when the time comes, there’s no guessing, especially when the patient is unable to speak for him or herself. Included is the patient’s entire philosophy about whether they want everything reasonable done — even if the chance of keeping them alive Continue Reading »