Terry @38 - that makes sense. Well . . it doesn't, it's insane - but you know what I mean.
Link Between Religious Coping And Aggressive Treatment In Terminally Ill Cancer Patients
"ScienceDaily (Mar. 23, 2009) — In a new study of terminally ill cancer patients, researchers... found that those who draw on religion to cope with their illness are more likely to receive intensive, life-prolonging medical care as death approaches –– treatment that often entails a lower quality of life in patients' final days. Previous research has shown that more religious patients often prefer aggressive end-of-life (EOL) treatment. ...The study's findings suggest that physicians tend to comply with religious patients' wishes for more aggressive care...
The researchers also found that religious copers in the study were less likely to have completed advance medical directives, such as a living will or do-not-resuscitate order...The effects of religious coping ...remained significant even after adjusting for differences in advance care planning."
"So why get Medicare to pay the doctor to do the counseling? Because we know that if this white-coated authority whose chosen vocation is curing and healing is the one opening your mind to hospice and palliative care, we’ve nudged you ever so slightly toward letting go."
Ok, so from what I understand of that part of the bill (section 1233)[big pdf], , it really is talking about advance planning for end-of-life care in general - palliative care & hospice are certainly mentioned, but as part of "the continuum of end-of-life services and supports available." Regarding "‘order[s] regarding life sustaining treatment", it's specifically stated that "The level of treatment ... may range from an indication for full treatment to an indication to limit some or all or specified interventions." And as mentioned by Jim @28, financial incentives for the doctors aren't there - if anything, they could run the other way, towards more expensive interventions!
So if they're no evidence that drs would be stubbornly pushing hospice/palliative care, but rather providing patients with (voluntary) counseling on the full range of care&planning options, what's Krauthammer's problem? Assuming it's not merely partisan - well, look at it this way: (one of) the main problem(s) w/ Krauthammer's piece is that it trades on his (bizarre & inexplicable) status as a reasonable & respected commenter to bestow legitimacy to something fundamentally illegitimate - deather hysteria. Similarly, given that a sensible restatement of "... if this white-coated authority whose chosen vocation is curing and healing is the one opening your mind to hospice and palliative care" is simply 'if the dr. provides you with information about the full range of advance planning and care options', it would seem the issue is using doctors' status to grant legitimacy to something he finds fundamentally illegitimate - hospice and palliative care*. Honestly, he basically says says as much right there - the problem is doctors talking about that (and therefore patients might decide it is a legitimate option).
* And of course, that's his decision to make - for himself.
shadowsong @20 - ah ha! it was looking for nebula awards (final ballot, anyway) that got it -
The evolution of trickster stories among the dogs of North Park after the Change, by Kij Johnson (should have known).
Thanks! And Joel @19, thanks for the Saki!
OT, but if anyone can help me, you folks can:
Short story, fantasy, recent. Full text was available online, linked within the last year or so. Award-winning? One day dogs begin to talk. They tell stories. People abandon them in droves - fear, guilt, so on. Begin killing them. Narrator tries to save a pack. Hurts one's heart to read it. Possibly mentioned here. Thought I bookmarked it; apparently not. Searches so far are fruitless. Anyone?
"*Turns xeger into ein stein*"
Waiter, this quark tastes a little strange . . .
"How many have kids or grandkids who are six years old? Per a Making Light thread several months ago, this may be the first world event they remember."
As far as I can tell, the first event I remember - rather than colors and shapes and such - is Reagan's first inauguration. It's pretty fragmentary, though, and doesn't include the part that's passed into family legend, when I apparently burst into tears and ran and hid behind the couch.
This makes a much better memory.
"McCain was actually fighting hard for the Batrachian-American vote."
Flyboy!
"She didn’t give birth to Trigg all alone in a cave."
Yes she did! While field dressing a moose. It's just that the liberal media refuses to report on it . . .
"A question I've had for many years: what was the best thing before sliced bread?
Unfortunately, after coming its power, sliced bread had pre-existing archives dissolved and countless works burned, so we may never know the answer . . .
"We've only had sliced bread for 80 years??? I would have thought bread-cutting technology would go a bit further back. That's over-weirding my pudding."
Don't look into chocolate chip cookie origin stories . . .
"We believe what we see, and if a scene is repeated 20 times on the TV, deep down we'll feel that it's happened 20 times."
Which, I think, may have been one contributing factor - however minor - to how so many people went a bit bonkers after 9/11.
"And looking very relaxed, Michael Bérubé on vibes.â€
I thought Bérubé played the diacritics . . .
Peter Pan (bread)
The Tragedy of Tragedies, or the History of Tom Thumb the Great (Tom Thumb lettuce)
*An Account of the Brandybuck family east of the Brandywine River (heirloom tomatoes)
The Wasteland, Prufrock, and Other Poems (peach pits, oyster shells, coffee spoons, dulse).
The Saga of the Volsungs (Indian curry containing spinach/mustard greens).
Three Men in a Boat (To Say Nothing of the Dog)- sour cherries.
Selected Works of Cicero (chickpeas)
Little Red Riding Hood (lupini beans)
The Lion, The Witch, and the Wardrobe (Turkish Delight.)
Ender's Shadow (Haricots verts)
Doctor Zhivago/Collected Poems of Boris Pasternak (parsnips)
* Speculations Concerning the Secret Heir to the Throne of Ankh-Morpork (carrots)
A Thief of Time, by Tony Hillerman (Anasazi beans)
Witness, by Whittaker Chambers (pumpkin)
The Big Sleep (almonds)
Omphalos, by Philip Gosse (Navel orange-rind)
The Narrative of Cabeza De Vaca (head cheese)
Great Expectations (wedding cake - or apple seeds)
Don Quixote (Manchego cheese)
Rootabaga Stories . . .
Fair Game, by Valerie Plame Wilson (leeks)
Mutiny on the Bounty (breadfruit)
The No Spin Zone (ah . . . ridged gourd)
Cod. (and &tc.)
Any collection of authors/litcrit/individual work of authors from the Kailyard school, kale/cabbage leaves
Rubyfruit Jungle (grapefruit peel)
A Wrinkle in {Thyme}
Biography of Sir Francis Drake - duck feathers.
The House at Pooh Corner (etc.) Honeycomb.
On the Road - Beet leaves. (also: Justine)
The (Hore)Hound of the Baskevilles.
The Nonexistent Knight and The Cloven Viscount.
Any retelling of the myth of Demeter and Persephone: pomegranate rind.
The Marrow of Tradition (chestnuts)
That horrible, horrible book about how workers bear complete responsibility for everything that happens to them and should happily accept every new CEO-salary inspired downsizing: some particularly smelly cheese. Or better, cheese product.
Das Boot: long bread roll.
Hamlet! (but with rue, rosemary, and fennel . . .).
The Catcher in the Rye.
The Wizard of Oz - poppyseed bagel.
DVD packaging - Firefly (Saffron).
Like Water for Chocolate
The Passing of the Great Race (Great White Northern beans)
Lonely Planet:Peru (Lima beans)
I'd say an edition of the collected shorter works of Denis Diderot (strozzapreti), but apparently that's a misquote. Ah, well . . .
Birth Of The Cool: Beat, Bebop, and the American Avant Garde (cucumber slices)
The Decline and Fall of the Roman Empire (apple - y'know . . .)
"I wonder what the costume stores in those parts of the south sell for kids who want to dress up a a scary homosexual or a scary atheist?"
Ah, you see, but that's what makes them so scary - you can't necessarily tell.
"Heresiarch #10: You have accidentally written a Daniel Pinkwater story."
And if I remember correctly - and one should probably assume that I don't, as those years are a bit fuzzy - Shaenon was a big Pinkwater fan . . . and so we come full circle . . .
"It's the US weather map, with the caption "Shaded areas have been occupied by Israel since 1967.")"
And so I discover the dubious joys of snorting chard-and-chickpea soup out through my nostrils . . .
Darn, Sarah @ 8 beat me to it by a night or so - although I was thinking more along the lines of cruelty-free granny farms. After all, if you confine them in to small a space, they start to peck at one another . . .
I can't remember what blog it was where someone in comments mentioned planting tofu. Well, good luck to 'em - it never works for me, must be the climate or something. Perhaps if I start it indoors - although it may just be too dry, since its natural habitat seemed to involve floating in tubs of tepid water . . . .
I always liked Fforde's use of Wordsworth in whichever of the Thursday Next novels, though
- And is it just me, or is that semi-animated scene in the recent Beatrix Potter movie (you know they were counting on a certain percentage of folks just hearing 'Potter' and assuming it involved a certain boy wizard) - after she hears the bad news - remarkably disturbing?
| Year | Number of comments posted |
|---|---|
| 2009 | 7 |
| 2008 | 9 |
| 2007 | 8 |
| 2006 | 33 |
| 2005 | 1 |
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