One of the most heated issues in the debate to overhaul the nation's health care is a provision in the House bill to pay doctors to counsel patients who want to talk about end-of-life care. \"The health care system saves money because we\'re not doing useless things,\" said Dr. Mike Stellini, associate director for Integrated Clinical Curriculum at Wayne State University. \"Good planning for end-of-life care results in a better way to take care of the patient.\"