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Politics : A US National Health Care System?

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To: Brumar89 who wrote (7809)	7/26/2009 5:53:49 PM
From: Alastair McIntosh	Read Replies (2) of 42652

The advanced directive only comes into effect if you are incapacitated and unable to communicate. You posted: Whoa. That depends entirely on what the directive says. Not where I live. You will always be asked if you wish to accept a treatment. If you have been determined under the law to be incapable of making those decisions your attorney for personal care or other substitute decision maker will be asked to make the decision as he or she understands you previous wishes. You can amend the directive at any time. Later wishes, even if only spoken or communicated in some other manner such as gestures, always prevail over earlier wishes including a signed document. As the system always defaults to treatment there is always a risk that you will get a treatment you don't want. For example, if someone suffers a stroke and the substitute decision maker can't be contacted right away the victim may end up in an active treatment hospital. I have quite a few stories about this as my wife spent over 25 years in a large nursing home as a staff nurse, head nurse and nursing supervisor.

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