The borrowing of creative licensing is being used here.
Advance Care Planning Consultations
"The provision by the practitioner of a list of national and State-specific resources to assist consumers and their families with advance care planning, including the national toll-free hotline, the advance care clearinghouses, and State legal service organizations (including those funded through the Older Americans Act of 1965)"
(...)
The level of treatment indicated under sub paragraph (A)(ii)may range from an indication for full treatment to an indication to limit some or all or specified interventions. Such indicated levels of treatment may include indications respecting, among other items---
(i) the intensity of medical intervention if the patient is pulse less (ZOMBIE), apneic (ZOMBIES on a Respirator), or has serious cardiac or pulmonary problems (Potential ZOMBIES);
ObamaCare, quite frankly, gives the Secretary and some medical guru practicing under the government rule, to say Da or Nyet on if you may live under the above conditions.
Get it Comrade?
In 1917, like everything else, medical services were nationalized by the new socialist government. Gradually, small medical practices disappeared and a network of big, factory-like hospitals and out-patient clinics were established all around the country. Everyone was registered in both out-patient clinics and hospitals according to their government-assigned residence. Patient choice was completely taken away by the Soviet State, which took full responsibility for centrally planning each individual’s medical expenses and health care.
With the elimination of private expenditures for health services, the form and amount of medical care were now dependent upon the budgetary priorities of the State. All members of the medical industry were put on low fixed monthly salaries and were mandated to examine and treat an overwhelming daily quota of patients. Medical research became dependent upon inadequate annual budgetary allocations from the government. Doctors’ and nurses’ incomes no longer depended on their professional skills or the number of patients they treated. Total unionization of the medical profession made it practically impossible for anyone to be fired. Without markets and prices determining the value and availability of health care, the government imposed a rationing system for medical services and pharmaceutical products.
Specialized services (mammograms, ultrasounds, and so forth) were available only in a few select hospitals where the doctors were supposed to treat patients as well as participate in research. For example, in the case of brain or cardiovascular surgery and treatment, there were only a few specialized hospitals available in the entire country. People sometimes died waiting in line to be admitted for these treatments.
Medical care became a producer-oriented industry, instead of the consumer-oriented market that it had been in Old Russia. But even the State cannot kill the market, just as the State cannot repeal the laws of God and nature. The market was simply driven “underground,” and thus became the black market. The black-market response to State-rationing occurred immediately. Doctors’ services and pharmaceutical products (both domestic and foreign-made), as well as access to medical-testing equipment, became available for bribes. Unfortunately, only the wealthy elite could afford expensive black-market medical services, while the poor majority could no longer count upon charity.
(...)
Not surprisingly, those in the political elite did not want to be treated in the medical system provided for “the people.” One of the greatest myths about the Soviet Union was its supposed equality for all. No society was so divided into privileged groups and classes as was Soviet society. Where an individual stood in the political hierarchy of the Communist Party and the bureaucratic structure of the socialist economy determined his access to all the essentials as well as the luxuries of life.
Special hospitals were created all around the Soviet Union. These were reserved for the members of the Central Committee of the Communist Party, the Council of Ministers, the local and regional Party elites, and so forth. The “servants of the people,” as a result, received a qualitatively different level of medical care than “the masses.” The privileged few had access not only to Soviet-made drugs and medications but also to Western European and American medicines and equipment, which could never be within the reach of the ordinary “proletarian” patient.
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