" by Paul Byrne, MD VII - What Happens in Rogue Hospices Medicare/Medicaid Hospice Reimbursement Cap & Hastening Death Hospice Can Use "Closers" to End Lives HMO/Hospice Intimidation to Force DNR Status and HMO Abuse Begins HMO/Hospice Nurse Causes Fatal Septic Infection Hospice Can Withhold Ordinary Treatments to End Lives Hospice Can Misinform Patients and Families to End Lives Hospice Can Ignore Your Power of Attorney and Create a New One Hospice Can Misinform Staff to End Lives A Miseducated Hospice Nurse Hospice Can Miseducate Physicians to Facilitate Ending Lives Palliative Sedation or Terminal Sedation to Hasten Death Hospice's Third Way: Quill & Byock Promote Palliative Sedation to Hasten Death Hospice: Expanding Its Turf to the Non-terminal & Hastening Their Death How Hospices Hide the Killings (HIPAA Misdirection & Hospice Fraud) VIII - Why Hospice Became the Sacred Cow of Health Care The Government Loves Hospice The Media Loves Hospice Some Surgeons and Doctors Love Hospice Hospital Administrators Love Hospice Nursing Home Owners Love Hospice Guardians Love Hospice Some Adult Children & Spouses Love Hospice The Right-to-Die/Kill Crowd Loves Hospice IX - HMO/Managed Care Approach to Hastening Death What Linda Peeno, MD Told the Congress About Managed Care Kaiser Health Plan The Nixon Administration, HMO/Managed Care and E. Because these changes are not covered by the major media in any coherent, connected way, or at all, the public has difficulty "putting a finger" on what is happening and why.

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However, to assure participation by all seniors, then President Lyndon Johnson pressured all private health insurers to cancel all policies available to seniors.

If seniors want to completely opt-out of Medicare, they have to give up their Social Security benefits and then pay privately for all services they receive. Since there is no private health insurance available for seniors in the United States, we cannot say that participation in Medicare is truly voluntary.

They question the declining percentages of Americans who support the traditional value of a family (husband, wife and children), marriage (husband and wife), sanctity of life, faith in God, the value of work and the opportunity to get ahead in a free society. They question whether we are still truly free to express our religious faith in a public setting, or even whether the dedication to "do no harm" within health care is the prevailing mindset. If you want to know what all that "death panel" talk is really all about, this is the book that explains exactly what is going on and will be going on.

There are no formal "death panels," but there are bureaucrats in government, HMOs, and private health insurance companies whose decisions knowingly result in denied tests, denied treatments and certain death in many cases. However, when the federal government becomes the big HMO itself, test and treatment denials will be the equivalent of death sentences for some, even many.

Those on Medicare and Medicaid are already on a government-run plan and are experiencing the effects of decisions made by unelected bureaucrats in Washington, DC.

We need to remember that Medicare passed into law in 1965 and is nominally a "voluntary" program.

Many seniors are comfortable with Medicare the way it has been up to the present time.

What needs to be recognized is that changes are coming no matter what political party or agenda controls those changes, with or without the new health care reform law.

The new health care reform law creates several methods that are likely to result in rationed care.

For example, the "Independent Payment Advisory Board" ("IPAB") is supposedly not allowed to make recommendations that directly result in rationing care, but it can exert overwhelming pressure on providers by reducing how much they get paid to provide a service.

Sometimes, they just can't believe the changes that have already been made.