One welcome result of the long-running debate over health care reform is conversations in these parts occasionally turn to topics other than the dismal records of the Royals and the Chiefs.

In particular, we’re glad to hear more people talking about important end-of-life decisions that might or might not be addressed in the final reform package.

We know now that most of the proposals would provide insurance coverage so that a person could meet with a physician once every five years, if they choose, to discuss such things as do not resuscitate orders (DNRs) and other decisions that individuals and families often are asked to make late in life.

The insurance reimbursement is seen as an incentive for physicians to set aside other compensated activities for a few minutes to counsel with families about these matters. No one would be required to seek out a doctor for this purpose, and doctors would be free to continue providing such counsel without charge as many do now.

Notably, when it comes time to talk, there is an option that has been available to Missourians only since August, when a new law went into effect. The state has joined 46 others in allowing individuals and their doctors to complete an out-of-hospital DNR order, or OHDNR.

According to the Department of Health and Senior Services, this document will provide direction to paramedics, EMTs and other first responders in the event an individual’s heart or breathing has stopped. Both the doctor and the patient, or the patient’s legal representative, must sign the order in advance.

According to DHSS, these kinds of orders long have been common in hospital settings, but the new law provides a statewide system for people with life-limiting chronic illnesses or terminal illnesses to have their wishes honored wherever they are.

It makes sense, of course, that if you choose to die peacefully without resuscitation in a hospital setting, you might well choose the same when you are not in the hospital. This legislation is a humanitarian step forward.

If you have an interest in creating an OHDNR, consult your family and doctor. The forms are available by calling (800) 573-6400 or visiting www.dhss.mo.gov.