The article is addressing (and refuting) the specific claim that people on Medicare will be required to have counseling regarding end-of-life decisions. I think you're taking the quote out of that context.
There is no proposal that would require anybody to be counseled about such things as hospice care and living wills. There is a proposal that would require Medicare to cover such counseling if a covered person wants it. There's no government intrusion into health care decisions involved. Just because Medicare covers appendix removal, for example, doesn't mean that everybody is required to have their appendix taken out.
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