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Do you have health care power of attorney, how do you decide to have one?Yes, I have one. It spells out what I want but I have a problem finding a person to be one. You need a person you trust completely to carry out your wishes but I also want someone who knows a little bit about medical issues to know whether I’m getting the latest treatment. You see my Husband would probably died months sooner if we had stayed with the original cardiologist. He wasn’t interested in my input ( I’m a nurse) and didn’t like questions. We switched to a younger doctor in the same practice who was happy to explain things in more detail and was willing to go the extra mile to help my husband achieve his goal of living until September 2018. He ordered a special test and even the doctor who performed it was willing to discuss treatment with us. I like that in a doctor. My husband went with this treatment ( which was to have a catheter inserted into his heart muscle) but knew he was dying anyway. We both knew. When he was ready, he asked to have the catheter removed and he died a few days later. I hope I will be in control until the end but if I’m not I just want someone to nudge the doctor to try everything. I want to spare my children that because they are not medical people.
How do I get a pre-authorization for out-of-state primary care from the Tufts Health Together plan?I doubt that you can. If the Tufts plan is an HMO, then you will need to ask your PCP for a referral. HMOs are paid a “capitation fee” per month for each patient. The HMO becomes the insurance carrier. Therefore, if you ask for an out of state referral for routine care, they must reimburse the other provider which they won’t want to do.If you need emergency care due to risk of life or limb, then that’s a different ballgame and should not be a problem as the ER of any hospital will coordinate with the HMO.Hope this helps.
How can it be legal for an individual to be the Speaker of the House for the State of Illinois and have his daughter as the state's Attorney General?Why would that be illegal? There are anti-nepotism laws on the books for government jobs - sadly, there aren’t any to speak of for the private sector in the US - but this isn’t really nepotism. Voters elected Michael Madigan to the position of State Rep way back when, and in 1983 his peers in the Illinois State House first elected him as speaker of the Illinois House of Representatives.Michael Madigan’s step-daughter, Lisa Madigan, first became Illinois’ attorney general in 2003, and she’s been re-elected since then.When people pick their favorites to work with them or for them, that’s favoritism. When they pick family [or perhaps cronies], it’s nepotism. But the voters picking people who happen to be family members or cronies of each other is not favoritism or nepotism - it’s called democracy.