My point with this whole thread is that nothing has changed with this ruling. Nothing is different. Words were shuffled around, but the law is the same.
I actually respectfully disagree. Queer Health and Healthcare Advocacy is what I do for a living and so I can tell you this continues to be a problem and a need. I don't think that at the FEDERAL level there has ever been strong enough language actually mandating that same-sex partners be treated with equality with regard to hospital visitation and healthcare decision-making. If there were such a federal mandate that was being universally enforced, then individual states would have no need of passing their own legislation to provide similar rights to same-sex couples...and the fact is that states are finding they need to do so. My state of NY, for example, passed a visitation bill several years ago and just about a month ago finally passed a state law providing healthcare decision-making rights to same-sex domestic partners and spouses (even in the absence of a signed healthcare proxy). So while the presumption has been that adequate protections are in place----in practice that has clearly not teased out to be fact.
Even people who oppose many other LGBT rights have recognized this disparity. In particular, I can specifically recall that in one of the VP debates when asked about LGBT issues Sarah Palin, who is by NO means (in my opinion, at least) a friend to the queer community, identified that while she couldn't support same sex marriage, adoption, etc. that she did recognize that we must allow partners hospital visitation, etc. The mere fact that this issue
continues to get mentioned on both sides of the aisle is an indication that something has clearly been "broken" in the system.
Another indicator of such is that there are clear examples of incidents where laws either were not in place or were not appropriately enforced, as have been highlighted here on this thread. If you want to learn of more instances like these, I suggest looking up the "Healthcare Equality Index" which is published annually both online and in print by the GLMA and HRC. It contains 1st person stories of inadequate and substandard access and treatment as well as hard data about the problem(s). In 2007, for example, a sampling of hospitals nationwide were surveyed and one of the questions they were asked was "
Does your hospital recognize advance healthcare directives such as durable powers of attorney, healthcare proxies or living wills in allowing GLBT domestica partners decision-making authority for their hospitalized domestic parnters?" In response, 1 of the hospitals surveyed said "sometimes"....and
FOUR of the hospitals said "NO." When you have hospitals openly admitting that they opt NOT to honor legal documents designed to protect the healthcare needs of patients (specifically, in these cases, LGBT patients)---there is clearly a problem.
Obama's directive yesterday is a move in the right direction....even if for no other reason then it draws further attention to the clear disparity that continues to occur around this issue and will hopefully force care providers nationwide who have been slow to create and/or respond to what should be good common sense, ethical practices to get in line and follow the very oath they take when they become healthcare providers: "...do no harm."
where in the world do you live??
I worked as an RN in a hospital in the 90's and we did not put big red x's on any HIV patients chart, we didn't require gloves and masks to visit a pt with HIV!!
crazy!
the only time precautions are in place going into a room ( gowns, masks, gloves) are if the patient has another infection requiring those precautions
TB, MRSA, for example.
I am glad to hear that you haven't experienced this kind of ignorance, bigotry and stigma in the professional settings----but the truth is that it does happen and we need to continue to share these stories so that we can address the problem. Through my job I received a call at my office from an RN who had recently been hired at a nursing home near where I live. She was deeply troubled and wanted me to come into their facility to do a training about HIV risk so that the STAFF of the facility would be better informed about the issue. Why? When she was first hired at the facility, she learned that there was an older gay man living with HIV who was a resident in the facility. The way she knew was because the man's room had a laminated red sign on the door that said "Touching Precautions" and during their new staff orientation, employees were encouraged to take extraordinary measures to protect themselves from contact with him that went well above and beyond the standards of universal precautions---and which were clearly rooted in ignorance and bias about HIV (and were clearly a violation of the particular patient's rights since they had created an unequal standard of care for him AND had probably also violated his confidentiality either directly or indirectly through their unequal treatment). This incident did not occur in 1983. It did not occur in 1993. It occured in 2003!!! A great deal of ignorance and bias about HIV (and LGBT people's health in general, for that matter) continues to exist and must be addressed through both policy and law....and through compassionate and well-informed providers who are willing to act as agents of change within their own field and care settings!