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Sarah Palin's Death Panels
Three years ago, my mother died after a long and painful illness. During her last months she was only partially conscious, and in her brief intervals of awareness was often distraught. At several points my father, sister, and I met with doctors to figure out how to ease her obvious suffering with pain medications, and how we could get her into a hospice facility. We could afford the counseling, but millions of other families cannot -- which is why one of the useful heathcare reforms now moving through Congress authorizes Medicare to reimburse doctors for such voluntary end-of-life consultations. The American Medical Association and the National Hospice and Palliative Care Organization support the provision.
But in a cruel contortion, former Alaska Governor Sarah Palin calls these consultations "death panels," and in a Facebook posting late last night charges that they'll force the elderly to accept minimal end-of-life care in order to reduce health care costs: "It's misleading for the president to describe this section as an entirely voluntary provision that simply increases the information offered to Medicare recipients," and added, "It's all just more evidence that the Democratic legislative proposals will lead to health care rationing." In her short time on the public stage, we've come to expect this sort of thing from Governor Palin. But listen to other Republicans these days -- and if you can bear it, tune in to right-wing Hate Radio -- and you'll hear more of the same.
Health care is already rationed, of course. Those who can't afford health insurance don't get much of it, except in emergency rooms. For those who have insurance, the rationing is done by prepaid medical groups, the legacies of HMOs, that decide what drugs and procedures their members will get. Or it's done by insurance company personnel who decide what will be covered.
But for the scaremongers to say that under the healthcare reform proposals now being considered, government will do the rationing -- and that government bureaucrats will decide whether people live or die -- is odious. It's a deliberate lie that preys upon the fears of many people who already scared as hell about loss of their jobs, healthcare, homes, and savings.
The "town meetings" that are now spewing such anger reflect deepseated fears that are welling up across America during this economic crisis. Healthcare reform may ease some of these fears. But the demagogues that are manipulating those fears for political gain don't give a hoot.
Have they no shame?
But in a cruel contortion, former Alaska Governor Sarah Palin calls these consultations "death panels," and in a Facebook posting late last night charges that they'll force the elderly to accept minimal end-of-life care in order to reduce health care costs: "It's misleading for the president to describe this section as an entirely voluntary provision that simply increases the information offered to Medicare recipients," and added, "It's all just more evidence that the Democratic legislative proposals will lead to health care rationing." In her short time on the public stage, we've come to expect this sort of thing from Governor Palin. But listen to other Republicans these days -- and if you can bear it, tune in to right-wing Hate Radio -- and you'll hear more of the same.
Health care is already rationed, of course. Those who can't afford health insurance don't get much of it, except in emergency rooms. For those who have insurance, the rationing is done by prepaid medical groups, the legacies of HMOs, that decide what drugs and procedures their members will get. Or it's done by insurance company personnel who decide what will be covered.
But for the scaremongers to say that under the healthcare reform proposals now being considered, government will do the rationing -- and that government bureaucrats will decide whether people live or die -- is odious. It's a deliberate lie that preys upon the fears of many people who already scared as hell about loss of their jobs, healthcare, homes, and savings.
The "town meetings" that are now spewing such anger reflect deepseated fears that are welling up across America during this economic crisis. Healthcare reform may ease some of these fears. But the demagogues that are manipulating those fears for political gain don't give a hoot.
Have they no shame?
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Have they no shame?
Don't be ridiculous, of course they don't. They are Republicans and corporate shills.
August 13, 2009 4:47 PM | Reply | Permalink
Some of us against the current versions (4 and counting) of health care reform aren't shills or Republicans. I, for one, am an independent, and am not in favor of spending even more money we don't have to have government force businesses and individuals to comply with another directive.
How about this -- let's have a safety net for those who are indigent or otherwise unable to afford health insurance. Otherwise, let this service compete with other items to be purchased -- health insurance or that Flat Panel TV? or the vacation? or the larger house? or cable TV? Let ADULTS make decisions like ADULTS.
Wait...we already have this safety net. It is Medicaid. Supplemented by S-CHIP for kids. Tell me again why we need to spend another $1T over the next 10 years (at least!) that we don't have?
August 13, 2009 8:15 PM | Reply | Permalink
You are right, we don't have a trillion to spend on this, because the republicans spent it on....WAR!All that surplus money we had when Bushwhacker stole the election. What,$6T that could have been used on keeping Americans well and alive instead of bombing innocent women and children of an oppressed nation. A quarter of a million people will die in America this year, because they can't get proper health care. Since you are Independent,(republican incognito)You should have enough money to pay cash for your medical care. The bill is going to pass or a lot of corporate america will be sorry. It's scary the way people twist things around to suit their needs and then spread the fear around like cheap PB&J. Allocation doesn't mean the elderly will get less than they are now. It simply means that the younger working class that grow your food and make your clothes etc. will get more. I worked at a machine shop before Bush was elected. My insurance was affordable. Under $20 per week with $0 deductible, even a good dental plan. Now! my premiums are $68 per wk. and a $1500.00 deductible. I asked our GM what happened and he looked at me and said, "Politics!" We've had very few accidents at work in the past ten yrs. and they were minor. If I sprain my ankle or cut my finger, no matter how minor my doctor care is, I have to pay fifteen hundred dollars out of my pocket before my insurance will pay a penny. I don't run to the doctor with a hangnail. But like my co-workers, I need to feel safe if I should need to go to the doctor. Oh! and this 15 hundred resets itself at the beginning of every year. If I had to pay the deductible in Dec. I would have to pay it again if I need more care in Jan. It's ridiculous, but it's happening all over the country. Our GM can't find a better ins. because it's not there. Corporate america is ripping us off big time and getting bailouts from the govt. that everyone is afraid of. The republicans are just whiny mad because they lost the election due to working class Americans like me are tired of being raped by them. This must be why republicans are making up lies and spreading fear among the ignorant. I see working poor who can barely read that are crying wolf because of the propaganda spewing from the mouths of news media commentators who should be locked in an assylum for the criminally insane. It's criminal to spread fear and hate in a country as great as this. You wouldn't get away with it under a republican administration. No one bad mouthed Bush while he was in office. He would have had them hushed under the "patriot act". And the 700 billion goes to Bush's pals. It's ransom money the democrats had to pay to get the country back. And "Big Pharma?" is something the media told you to say. None of you are free thinkers. huh? There's a war going on right here in America. It's Corporate v. Govt.(the people)Every time you stand against this bill, you gain ground for corporates. I just don't get it. Why people are afraid of their own govt. But trust the big insurance companies with their lives. Any thing we get is better than what we've had for the past eight years. Republicans can always put in a good candidate to win and reverse it, if they would stop all the foolishness. Duh!
August 14, 2009 2:57 AM | Reply | Permalink
I just want to see these people called out for what they are - bald-faced liars.
By Democrats, by reporters, by commentators, by civilians. They are bald-faced liars and the American public as so ill-informed that they are falling for it.
Oh, and it is giving the racists "covering fire" for their own particular disease in the bargain.
August 13, 2009 5:10 PM | Reply | Permalink
No shame, no decency, no soul....
The last thing anyone should do is listen to "Dr. Palin."
They should ask her what previous experience she has dealt with to make such an unfounded statement.
The lesson from the elections was to let her keep talking until she exposes her shallow comprehension of the topic and arouses suspicion of her true motives.
August 13, 2009 5:12 PM | Reply | Permalink
She can see a hospital from her office window.
August 13, 2009 5:30 PM | Reply | Permalink
Yes, but is it a Russian hospital?
August 13, 2009 5:45 PM | Reply | Permalink
Probably both American and Russian, since she's also an expert on socialist health care. It goes without saying that she can see Canadian hospitals, and if she squints really hard, British hospitals, also.
August 13, 2009 5:50 PM | Reply | Permalink
And no accountability. There is simply no penalty imposed by our degenerate corporatized and consolidated MSM for spouting inflammatory, divisive, mendacious rhetoric. On the contrary, there are only rewqrds. A chortle and a hug from Matt Lauer when you plug your next vitriolic tome on Today. An endless gig as a columnist at the WaPo no matter how wrong you are again and again and again. An unending stream of invitations to appear on the Sunday shows and frequent interviews for the news shows.
August 13, 2009 6:09 PM | Reply | Permalink
Yes please, more coverage of this specific bill and what it actually says and how its actually helpful.
People who are not sick, or who are not cognizant of their own health care needs, because it works, or who have not gone through the process of having to make these choices can have all the paranoid fantasies about section 1233 they want. But the truth is, its actually a GOOD thing. It's a GOOD option to have.
Here's a hypothetical -
Let's say one of these protesters gets cancer. They make 40k a year - they have minimal coverage - will Sarah Palin or Rush Limbaugh or Chuck Grassley etc etc etc help them make the decisions they and their family need to make? Will their insurance company?
You want to feel alone? Be sick or injured and not have any recourse for support. That is what these protesters have been ginned up to support. the right to not have any recourse or resource. Is that the American Way? Should I wave a flag and quote Jefferson out of context to support this?
August 13, 2009 5:27 PM | Reply | Permalink
Sing it. To the tune of Who's afraid of the Big Bad Wolf:
"Who's afraid of a DNR, DNR, DNR?
Palin's afraid of a DNR, death panel lies every day!
Who's afraid of a Living Will, Living Will, Living Will?
Grassley's afraid of a Living Will, crying wolf day by day!
Who's afraid of political lies, political lies, political lies?
Baucus is afraid of political lies. More and dumber each day!
ohhh. brings out the rabble rouser in me.
August 13, 2009 5:34 PM | Reply | Permalink
This is a good point and a valiant effort.
But I fear we are letting the GOP set the agenda for discussion.
Let's call "death panels" the BALDFACED LIES that they are and move on to talking abotu how insurance companies kill and maim their customers -- recission, preexisting conditions (the fetus, for example) , and so forth.
Insurance companies are savaging Americans regularly, leading to bankruptcy, illness and death, and yet we are being distracted by GOP swiftboating.
Time to return the favor and savage the insurance cartels. The public hates these bastards. They always screw up the billing, try to shake down customers, and continually jack up premiums.
August 13, 2009 5:55 PM | Reply | Permalink
The rationing thing is killing me, because the likelihood based on Republican demographic is that a good portion of "the base" has suffered from absolute health-care rationing, with either a lack of insurance or limited insurance preventing adequate pre-natal care, preventative care, and follow-up care.
The demographics are that Republican voters are more likely to be recipients of government aid or victims of corporate misbehavior, and yet will defend their right to the death to be mistreated. I don't get it.
August 13, 2009 5:56 PM | Reply | Permalink
Stockholm syndrome. They are identifying with their oppressors/captors.
August 13, 2009 6:12 PM | Reply | Permalink
People are hearing that it's voluntary a lot, but when you counter something like "Death Panel" with "it's voluntary!", it just sounds like someone's going to lay on a guilt trip.
We need to make clear it's not just voluntary, it's saying IF you ask for it, your insurance must pay for it. If you never ask, nobody is going to contact you, pressure you, or guilt trip you into this counseling.
August 13, 2009 6:20 PM | Reply | Permalink
Sanjay Gupta says 'death panels' is probably a hyperbole, that is a 'deliberate exaggeration not meant to be taken seriously' (Oxford Dictionary).
Or it could be a bald face lie, but don't expect CNN to give The Old Grouch airtime.
August 13, 2009 6:56 PM | Reply | Permalink
Probably? PROBABLY? I am so glad that Gupta isn't the surgeon general if that is the best he can do. Fuck him
August 13, 2009 7:41 PM | Reply | Permalink
Who gets to make the final decisions, REALLY?
If you don't want to call it a death panel, then what name should we give it, A board that determines your not worth the expense?
Sec. Reich's situation is not the only END OF LIFE scenario.
When a team of doctors, in order to protect one another gets together and recommends proper treatment, and each one tells why they don't think the prognosis is good, you'll understand fear of the Death Panel.
Or maybe we can play another semantic game we'll call it a panel to decide if you LIVE,
What term makes you feel fuzzy LIVE or DEATH?
Like the term Compassionate Conservative, or how about this one; CHANGE WE CAN BELIEVE IN, turns out to be a minute incremental change, barely noticeable, but it is change. Can’t help, it wasn’t what you expected. SUCKER
Eventually the masses being forced to accept TORT reform, the carrot for the health insurance companies to sign on.
Obama too smart, or Smarting from Obamas cures.
Of course Obama will blame Congress and Congress will blame Obama.
http://tpmcafe.talkingpointsmemo.com/talk/blogs/erica/2009/08/i-just-flamed-david-axelrod--a.php#comment-3560965
August 13, 2009 8:55 PM | Reply | Permalink
Thank you for this good and heartfelt piece.
As an economist, could you say that using the market system is, itself, an inherent form of rationing? If you could make that point as loudly as possible, given your credentials it would push back hard against one of their core health care lies.
And after these scaremongers and distorters have enough odious arguments knocked down, their credibility will fall.
And then you can address the morality of using a market system for health care delivery.
August 13, 2009 10:13 PM | Reply | Permalink
The American Way: You are entitled to live until your bank account is empty. Let those who made the bad decision to have a small or no bank account pay for their bad decision by not living nearly as long. After all they could have stolen a lot of money too, just like insurance companies do.
Now, put your hand over your heart and say the pledge of allegiance to the corporations.
August 13, 2009 11:14 PM | Reply | Permalink
It must be considered that there is nothing more difficult to carry out nor more doubtful of success nor more dangerous to handle than to initiate a new order of things; for the reformer has enemies in all those who profit by the old order, and only lukewarm defenders in all those who would profit by the new order; this lukewarmness arising partly from the incredulity of mankind who does not truly believe in anything new until they actually have experience of it.
-- Machiavelli
August 14, 2009 12:06 AM | Reply | Permalink
I believe it is seriously mistaken to conflate the “death panel” idea with the health care bill provisions to support end of life counseling. I believe the counseling provision is but a small part of citizens’ concerns with “death panels.” Of much greater concern is the Obama administration’s proposal to create a commission, the Independent Medicare Advisory Commission (IMAC), appointed by the president to make final determinations re what procedures will be paid for by medicare, under what circumstances, and at what rates of reimbursement. This commission would be specifically mandated to reduce medicare expenditures. These critical medicare decisions, now made by Congress, would be taken away from our elected representatives, and given to bureaucrats accountable to the President.
The medicare cuts that have been called for by Orszag at the Office of Management and Budget are in excess of $500 billion. We are told that this will be achieved by eliminating “unnecessary tests,” eliminating only the wasteful expenditures. Most people realize that cutting $500 billion will of necessity mean dramatic reductions in the actual delivery of medical services to the people who need them. The group that has been most often identified as the “target” for these cuts are elderly people with terminal illness, where the cost saving scheme would be to provide more palliative care instead of more costly medical procedures that may add only six months to a year to life expectancy. Or even elderly people who are not ill but who may only benefit from a hip replacement for a couple of years because they are old. These are the kind of medical “ethics” issues on which Dr. Ezekiel Emanuel, one of Obama’s top medical advisors, has written extensively. Emanuel is infamous for writings such as his advocacy that scarce medical resources be allocated according to principles he calls “complete lives,” which would provide young people in their 20s and 30s with two or three times as much access to scarce medical resources as would be available to senior citizens. (See pp.428-429 of “Principles for Allocation of Scarce Medical Interventions,” The Lancet, Jan 2009).
A panel of appointed bureaucrats, not answerable to congress, whose mandate is to reduce medicare expenditures by hundreds of billions of dollars, populated by behaviorist crackpots such as Ezekiel Emanuel, is what a lot of people would consider to be a “death panel.” If Obama and Orszag need to cut costs by $500 billion, let’s start with reversing the bank bailouts. Instead of the backdoor sweetheart deals that the administration has made with Big Pharma and the hospital industries, and instead of continuing to line the pockets of the big health insurers, we should have a single payer system like the rest of the modern world.
August 14, 2009 12:34 AM | Reply | Permalink
Excellent post. You've hit on the real issue here, the IMAC board and "cost savings". So many liberals and progressives are desperate for reform of our broken system that they fail to see that the emerging bills do not fix it, they perpetuate the existing status quo and introduce dangerous new features. In the context of the collapse of the world monetary system, the threat of pandemics, cutting Medicare by $1/2 trillion and institutionalizing gov't rationing is not progressive, its insanity.
Repeal the HMO laws, return to the 1946 Hill-Burton standards, claw back the trillions given to the bankrupt banks (and put them thru FDIC bankruptcy proceedings as they should have been in the first place) and then fund single payer, Medicare for all.
August 14, 2009 11:10 AM | Reply | Permalink
I'M NOT GONNA LET OBAMA'S DEATH PANEL KILL MISS SARAH'S BABY, MY DEAR OLD MOMMA OR ANY OTHER GOOD WHITE FOLKS ('CEPTING DEM ILLEGALS)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!(ad nauseam)
August 14, 2009 1:52 AM | Reply | Permalink
Is it me or does the associated photo of Palin make her look as though she's gasping for air?
August 14, 2009 4:33 AM | Reply | Permalink
Does anyone actually believe that Palin is doing this on her own? No, honestly, she's backing spurious allegations by citing disingenuous minutia? What in her history leads anyone to believe that she even knows how to read a bill?
Someone is obviously pulling the strings. My guess: Bill Krystol.
At this point, Sarah Palin is nothing more than a provocateur. It wouldn't surprise me if she had a role in deciding which issues best sync up with her reality-challenged t-bagging base, and thus which issues to push. But the actual execution? No. There's no way in hell this is just her and her "staff" thinking a few things through on her Facebook page.
The MSM needs to drop this charade and peel back the veneer. This is nothing more than astroturfing through other means.
August 14, 2009 12:42 PM | Reply | Permalink