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Two thirds of American adults have no advance directives for their own health care should they be unable to make their wishes known. (Photo: Shutterstock)

Although the Center for Medicare and Medicaid Services reimburses clinicians for advance-care planning when Medicare patients are seen for their yearly wellness visits, there is no real encouragement to patients themselves to put such plans in place. In fact, two thirds of American adults have no advance directives for their own health care should they be unable to make their wishes known. And that makes it tough to see that a patient’s wishes are carried out — particularly since the patient’s family may not even be aware of where that form is and what it calls for.

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