The dying want someone to care writes Jim Towey

This is a powerful op ed in the Wall Street Journal by Jim Towey. Read it all. My bolds:

If President Obama wants to better understand why America's discomfort with end-of-life discussions threatens to derail his health-care reform, he might begin with his own Department of Veterans Affairs (VA). He will quickly discover how government bureaucrats are greasing the slippery slope that can start with cost containment but quickly become a systematic denial of care.

Last year, bureaucrats at the VA's National Center for Ethics in Health Care advocated a 52-page end-of-life planning document, "Your Life, Your Choices." It was first published in 1997 and later promoted as the VA's preferred living will throughout its vast network of hospitals and nursing homes. After the Bush White House took a look at how this document was treating complex health and moral issues, the VA suspended its use. Unfortunately, under President Obama, the VA has now resuscitated "Your Life, Your Choices."

Who is the primary author of this workbook? Dr. Robert Pearlman, chief of ethics evaluation for the center, a man who in 1996 advocated for physician-assisted suicide in Vacco v. Quill before the U.S. Supreme Court and is known for his support of health-care rationing.

"Your Life, Your Choices" presents end-of-life choices in a way aimed at steering users toward predetermined conclusions, much like a political "push poll." For example, a worksheet on page 21 lists various scenarios and asks users to then decide whether their own life would be "not worth living."

The circumstances listed include ones common among the elderly and disabled: living in a nursing home, being in a wheelchair and not being able to "shake the blues." There is a section which provocatively asks, "Have you ever heard anyone say, 'If I'm a vegetable, pull the plug'?" There also are guilt-inducing scenarios such as "I can no longer contribute to my family's well being," "I am a severe financial burden on my family" and that the vet's situation "causes severe emotional burden for my family."

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After a decade of observing end-of-life discussions, I can attest to the great fear that many patients have, particularly those with few family members and financial resources. I lived and worked in an AIDS home in the mid-1980s and saw first-hand how the dying wanted more than health care—they wanted someone to care.

This is the key problem with government run social programs. They remove the responsibility of citizens to care for their fellow members, even their own families, because we can rest conscience-free in the assumption that our hefty contribution through our taxes is enough. The other thing is that healthy folks may think they don't want to live under certain circumstances, only to find that even bed-ridden with a feeding tube, they still want to live. Victor Davis Hanson has more on the moral dimension of state-un health care at the Corner:

There is something creepy about the sudden invocation of Christian morality by the president to galvanize support for his state-run health care plan, as if his opponents are suddenly to be seen as somehow selfish or even un-Christian. This is an unfortunate, counter-productive tactic for at least four reasons:

1) The moral argument comes at the eleventh hour, rather than the first, of public debate, as if it is a desperate fall-back position intended to shame opponents who happen to think that massive state intervention will make health care worse rather than better;

2) Ironically, the religious trope would argue against the entrance of the state that would relieve citizens of their own moral responsibilities to help out family and friends in times of illness. It is no accident that secularism, agnosticism, and atheism are strongest in socialist Europe, where the government has relieved citizens of traditional moral responsibilities emphasized by religion;