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Obama Admin. Reverses Course on End-of-Life Provision

On New Year's Day, the government implemented new Medicare fee policies for physicians including a "voluntary end-of-life care" provision that would reimburse doctors for advising patients on end-of-life care. The following Tuesday, the Obama administration announced the revised regulations would remove the provision, effectively halting renewed controversy almost before it began.

The controversy threatened to re-ignite shortly after a memo from the office of Rep. Earl Blumenauer (D-Oregon) became public. (Blumenauer wrote the original end-of-life provision.) The memo celebrated the inclusion of the end-of-life provision in the Medicare regulations, which were released November 29 with little scrutiny. "The longer this goes unnoticed, the better our chances of keeping it," according to the memo. The memo advised proponents to keep the inclusion "quiet" in order to avoid "the ‘death panel' myth."

A similar provision was dropped from the health care reform bill before it passed in 2009. At ...

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