No, Obama is not setting up death panels. He is just creating rules that hospitals can only comply with if they quietly and unofficially have death panels for medicare patients.
If a hospital discharges a patient who lingers on for years sucking up lots of expensive services outside the hospital, the hospital is penalized. If, however, the potentially expensive patient should conveniently croak while in hospital …
In a number of European countries, quite a lot of patients die “under deep sedation”– in other words, medically administered barbiturate overdose, murdered.
If the patient is dead of IV drug overdose with a drug clicker in his hand that controls the amount of fentanyl in the IV, then that is suicide or death by misadventure.
If the patient is dead of IV drug overdose with no clicker in his hand, murder. And that is the way patients in Europe die when they die “under deep sedation”.
Pain control is morphine or fentanyl. “Deep sedation” is lots of barbiturates. Barbiturates are deadly in large doses.
Barbiturates are not to prevent pain, but to prevent the patient from making a fuss about his medical treatment, or making a fuss about dying – or from making a fuss about lack of medical treatment, lack of food, and lack of water, hence given with IV, but without clicker.
There are legitimate medical uses of barbiturates, typically to keep patients from making trouble when the doctor is giving them an examination that is painful and embarrassing, for example a colonoscopy. But there are seldom legitimate reasons to give barbiturates to a patient lying in a hospital bed, and there are never legitimate reasons for a patient to die “under deep sedation” while lying in bed. Yet somehow quite a lot European patients do die “under deep sedation”.
The usual procedure for extreme pain control is to give the patient a clicker, whereby the patient directly controls the level of morphine or fentanyl, up to a limit. If no limit, this also gives the patient the option of voluntary euthanasia, by clicking hard enough.
“Sedation” means barbiturates, which means not controlling the patients pain, but rather controlling the patient.
These barbiturates are applied through the IV, without the patients knowledge, consent, or control, thus death during deep sedation is involuntary euthanasia: murder of the inconvenient and unwanted.
If the patient is dead with a lethal quantity of fentanyl inside him, and fentanyl clicker in his dead hand, obviously voluntary euthanasia or death by misadventure.
If the patient is dead with a lethal quantity of barbiturates inside him, the barbiturates administered by IV with no barbiturate clicker, obviously involuntary euthanasia: murder.
“Deep sedation” is never given with a clicker, therefore always involuntary euthanasia, murder. There is a lot of medical murder in Denmark and many other European countries, and now hospitals in the US have a compelling financial incentive to do the same with potentially expensive medicare patients, including medicare patients that have something expensive but not swiftly lethal wrong with them that will create endless expenses after they are discharged from hospital.