Wisconsin legislators debate creation of palliative care advisory council amid concerns

The Senate Committee on Health and the Assembly Committee on Health, Aging, and Long-Term Care convened on March 12, 2025, to discuss critical issues surrounding palliative care in Wisconsin. A significant focus of the meeting was Senate Bill 39, which proposes the establishment of a palliative care council aimed at improving care for patients with serious illnesses.

Key discussions highlighted concerns regarding the use of opioids in palliative care, particularly the potential for these medications to hasten death. Several participants, including members of the Wisconsin Catholic Medical Guild, expressed apprehension about the administration of high doses of pain relief medications, such as morphine and fentanyl, suggesting that these practices could lead to unintended consequences. They emphasized the need for clear definitions and guidelines to ensure that palliative care does not equate to hastening death.

Dr. Robin Goldsmith, president of the Wisconsin Catholic Medical Guild, raised concerns about opioid dosing and the necessity for a council that includes diverse medical professionals, such as pharmacists and anesthesiologists, to provide comprehensive oversight. The discussion also touched on the integration of palliative care with hospice services, with some arguing that the two should be distinctly defined to avoid confusion and ensure appropriate care.

Supporters of the bill, including healthcare professionals from VITAS Healthcare, argued that the establishment of a palliative care council is essential for improving Wisconsin's readiness to provide quality palliative care. They pointed out that Wisconsin currently scores low in readiness compared to other states with established councils. Advocates stressed that palliative care is crucial for enhancing the quality of life for patients and should be accessible to all, particularly in rural areas where healthcare resources are limited.

The meeting concluded with a call for further dialogue on the bill and the importance of ensuring that palliative care practices are both effective and ethically sound. The discussions underscored the need for ongoing education and awareness about palliative care among healthcare providers and the public to improve patient outcomes and trust in the healthcare system.