I agree with rjd. Any insurer is going to balk at an expensive procedure for a person where the outcome is negligible and the life not improved or lengthened. That's not about the government and Medicare or this particular bill -- that's a philosophical debate our society is probably going to have to have anyway fairly shortly.
I mean, my grandmother was basically unconscious for about 3-4 years. No way would any member of our family have asked for or championed some sort of surgery that was going to make her live another year but not have any awareness of anything.
What's the statistic? Something like 80 poercent of what we spend on a person's health care is spent in the last month of their life? Can't remember, but its a point that must be debated, even absent this bill or any other.
I don't know if I agree with your premise. If he doesn't get something passed, I think he (and by extension the Democratically controlled Congress) will be protrayed as weak and factionalized.
I was a medical malpractice defense attorney for 4-5 years before doing what I do now. Trust me, I am VERY familiar with this debate.
The thing that most people do not udnerstand is that medical malpractice laws, whether it be caps on damages or limits on the standard of care to be applied in such cases, is very much a state issue. Florida, as have many states, has adopted a series of changes in the last 5 years or so which have significantly curbed both the number and severity of such suits.
It is something which really should not be federalized, in my opinion.