Illegitimacy and advance directives in the news
I keep an eye out for news that affects the cultural context surrounding AtMP’s efforts to reduce singlism and marital status discrimination, as well as news about specific projects we’re working on. This week two aspects of the attacks on President Obama and his health care reform efforts caught my eye.
First, the over-publicized, utterly fabricated stories about the President’s birth certificate. How could that nonsense possibly be relevant to us? I have a Google news alert for “illegitimacy + birth,” and I’m concerned any time I see an increase in the use of that outdated combination of words. It’s worth remembering that the concept of illegitimacy was abandoned just a few decades ago, and that some people (who prefer divisiveness to diversity) keep trying to bring it back. AtMP has consistently spoken out against calling children “illegitimate,” from educating the conservative Washington Times in 2001, to chastising an anti-immigrant group in 2007. The current lies about President Obama don’t call for our intervention. But, it is nice to recall that (after being born in the U.S.) he was raised in perfect picture of family diversity, experiencing a single mother, an extended family household, a step-parent, and half-siblings with a variety of geographic and cultural origins. Just like so many of us!
Second, the mis-representation of a very small, very good element of health care reform – a proposal to help more people write advance directives. AtMP spends a lot of energy informing people that we all have the right to name our medical decision-makers and state our wishes through advance directives, regardless of our marital status. Too few people take advantage of this power, so we’re glad to see that Barack and Michelle Obama have written their advance directives, and that legislation might encourage more people to do so. Here’s how it’s explained at Salon.com:
The legislation would order Medicare to pay for consultations between patients and doctors on end-of-life decisions, which it currently doesn’t cover. But the consultations wouldn’t be mandatory; if your grandmother doesn’t want to go talk to her doctor about end-of-life care, she won’t have to. Because Medicare doesn’t pay for this kind of planning now, only 40 percent of seniors who depend on the government insurance say they have an advance directive that tells healthcare providers what measures they do and don’t want used to prolong their life, even though 75 percent say they think it’s important. The lack of planning actually costs a lot of money. Medicare spends billions and billions of dollars annually on expensive treatment during the last year of a dying patient’s life. Without allowing Medicare to pay for end-of-life consultations, it’s hard to know whether patients even want to go to such expensive lengths.
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