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Recent Newspaper & Online Columns by Kate Scannell MD

The Ryan plan for Medicare -- One giant wrecking ball

Dr. Kate Scannell, Syndicated Columnist
First Published in Print: 04/30/2011

AS A physician specializing for years in geriatric medicine, I was delighted to learn about Republican Rep. Paul Ryan's plan to dismantle Medicare and replace it with good old-fashioned, coupon-clipping, private-marketplace opportunities for elderly and disabled people seeking health insurance.

It was a brilliant idea. We all know how fun it is to comparison shop for health insurance policies in the first place. But also incorporating the prospect of applying coupons or "vouchers" to insurance purchases -- well, it sounded like a shopper's paradise for the Medicare crowd.

Besides, as a matter of principle, shouldn't the elderly and disabled be freed -- yes, freed! -- from Medicare to pursue opportunities to shop for private insurance, just like more able-bodied, freedom-loving Americans? As a matter of personal liberty, shouldn't they be allowed as many mind-boggling consumer "options" for policies?
Sure, the disabled and elderly may collectively suffer more physical, mental, financial and social limitations in multiple arenas of life -- but the Ryan plan offers them a rare taste of unfettered freedom in the private insurance marketplace.

OK, wait -- I can't satirize the Ryan plan anymore. What it threatens to do to Medicare is entirely too serious and disturbing. Read More 

How the new health care law may affect the unliving

By Dr. Kate Scannell, Syndicated columnist
First Published in Print: 01/09/2011

LAST WEEK, the Obama administration removed a provision from the new health care law that would have encouraged opportunities for patients to consult with doctors about life and death concerns. Under the provision, Medicare would have reimbursed physicians for time spent with patients who wanted to discuss end-of-life treatment and voluntary advance care planning during their annual wellness visits.

Thank goodness -- and Sarah Palin -- that the Obama administration had the timidity to withdraw such a ridiculous provision. Really, why would any mortal being ever want to talk about ... being mortal? Why would anyone ever want to document their own preferences to guide their future medical care when they became unable to speak for themselves?

Besides, whoever heard of a dead person complaining about the insurers and medical personnel who took charge of their health care during their final hours or months within an ICU?

Clearly, it is better to allow our dying process to arrive as one big surprise party for all concerned. Read More