By Yael T. Abouhalkah, Kansas City Star Editorial Page columnist
Sarah Palin said it: The Obama administration's health care plan could create "death panels" that could kill Americans.
And people listened and acted, from the U.S. Senate to President Barack Obama.
So if you think the former Alaskan governor is irrelevant or doesn't know what she is talking about (and clearly on the death panel comment she didn't), it doesn't really matter.
This week, the Senate Finance Committee said it would not include advance care planning consultations in its health care bill. The panel clearly was scared off by Palin's contention and all the white-hot attention it had received, including from many angry and confused people.
From an Los Angeles Times news story:
In reality, the provision was designed to allow Medicare to pay doctors who counsel patients about planning for end-of-life decisions. The consultations would be voluntary and would provide information about living wills, health care proxies, pain medication and hospice.
The issue has received so much negative attention that the Senate is running from the idea, with the thought that the House will join in.
Meanwhile, the Obama administration has had to react to Palin's comments as well.
It recently put up on its website answers to several different questions or myths about the health care plan.
Regarding the end-of-life consultations, the site said:
It’s a malicious myth that reform would encourage or even require euthanasia for seniors. For seniors who want to consult with their family and physicians about end-of life decisions, reform will help to cover these voluntary, private consultations for those who want help with these personal and difficult family decisions.
But on this one, clearly Palin wins.









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World Exclusive: Sarah Palin's Shattered Marriage
truthiest.blogspot.com
Roundup of Sarah Palin Divorce and Adultery Action!!!
Grandmother Sarah Palin Divorce Rumors Must Be Totally True
It looks like the
It looks like the Administration is backing off of the public option plan. Is this a repeat of 94? This article says so. http://www.healthcaredebateblog.com/
Obama will be a one term
Obama will be a one term president if he keeps up this fight, check out this debate blog: http://www.healthcaredebateblog.com/
Sarah..but what about your 2008 Alaskan Death Panels. Girl?
On April 16th 2008, in a proclamation announcing “Healthcare Decisions Day,” Alaska Gov Sarah Palin urged public facilities to provide better information about Advance Planning Directives for the kind of End-of-life care for seniors she considered so critical. You know.....like Death Panels:
"WHEREAS, Healthcare Decisions Day is designed to raise public awareness of the need to plan ahead for healthcare decisions, related to end of life care and medical decision-making whenever patients are unable to speak for themselves and to encourage the specific use of advance directives to communicate these important healthcare decisions."
Hypocricy? Same old, same old partisan politics? Or Sarah Palin caught red-handed on the "Republican slippery slope" of sleazy, bare-faced lying to the American public in order to defeat critically-needed health care reform? Let's see how she slithers out of this one.
When Republican Senator Johnny Isakson, a leading advocate of expanding end-of-life planning coverage who co-sponsored 2007’s Medicare End-of-Life Planning Act, was asked by Washington Post to comment on recent allegations of euthanaisia and death panels", he said. "I just had a phone call where someone said Sarah Palin’s web site had talked about the House bill having death panels on it where people would be euthanized. How someone could take an end of life directive or a living will as that is nuts.”
Sarah Palin won't be crowing for long.
Palin will sing a different
Palin will sing a different tune when Trigg is denied health insurance coverage due to his pre-existing condition.
The GOP plan is to do
The GOP plan is to do nothing and let the for-profit health insurance companies continue to screw us.
Palin is crazy!
Palin is crazy!
Yep, Palin is not that
Yep, Palin is not that person that we need. She is trying to forbid a lot of actions such as mega moolah and other
What's the GOP alternative plan?
OK, so you're united in saying "no" to Obama's plan. That's understandable.
However, what's the GOP plan? What does the GOP propose to reform the healthcare system? Most insurance premiums go to advertising, lobbying, overhead and executive salaries/bonuses. Is this the right way to help the ill and infirm?
Saying "no" over and over is easy - creating a solution is difficult. When will prominant Republicans stand up and offer a plan that works in a better way?
Can't pay for it, won't cover everyone, won't reduce costs...
That's the CBO's take on this legislation... so why does the "death panel" comment matter?
Why are we talking about it?
To distract your attention away from the fact that...we can't pay for it, it won't cover everyone, and it won't reduce costs...
The Dems have enough seats to pass it without bipartisan support. Why then are they targeting Palin and conservatives or brining attention to these issues?
To distract your attention away from the fact that...we can't pay for it, it won't cover everyone, and it won't reduce costs...
Mr Abouhalkah
I'm thinking George Orwell is turning on an ironic spit knowing that one more schmuck read his books as "how to" manuals instead of warnings. According to you, Palin is clueless and/or grossly dishonest, but that doesn't matter: she pushed this death panel bs (singlehandedly, one might imagine from your article) and voila, the sensible provision (first put forth by a Republican) to assist people by giving them paid-for counseling about end-of-life issues disappears. On this one, then, "clearly Palin wins."
Palin and Truth
Palin did not win. Truth lost.
Right wing zombies
10 : 1 Sarah Palin didn't write a word of that statement.
Why does Sarah Palin have any credence whatsoever anyway? How is it that a public official who walked away from an elected duty can get traction in the media? She is totally void of intelligence - there is none there and nothing for intelligence to adhere to.
There is definitely something wrong with America when someone like her can give direction and have it taken.
Sarah Palin, Advance Directive Advocate
If Advance Care Directives are "evil," why did Sarah Palin praise them last year?
See:
http://notionscapital.wordpress.com/2009/08/14/sarah-palin-advance-directive-advocate/
Palin moves to the next item
Palin is already onto the next item on the list: rationing. Palin has no interest in health care reform. She is just a stooge for the Republican party. And each of her latest statements contains distortions and lies. There are related posts at http://iamsoannoyed.com/?page_id=588
I think I've got Sarah figured out.
She doesn't want to be a politician anymore, after all she quit her job, she wants a talk show. She'll be like Rush or Glenn but prettier. That's a job where being irresponsible can get you rich instead of an ethics investigation.
Stay tuned!
But if this Healthcare
But if this Healthcare revamp is WHAT AMERICA WANTS AND NEEDS as Obama has says...why bend to the pressure of the so-called irrelevant republicans?
What's Obama afraid of if he is so confident he is right...could it be he is seeing his polls plummet and realzing he doesnt command the benefit of the doubt from the majority of America so far?
Sarah flip flops
Sarah's comment regarding death panels and her objection of the health care directive portion of the health reform is a complete turn around from her proclamation made on April 16, 2008. This proclamation was made two days before her Down Syndrome child was born and encouraged the same health care directives she now opposes.
http://74.125.95.132/search?q=cache:_qjXL_3J08EJ:www.eeo.state.ak.us/archive-50122.html+
Sarah Palin is the Queen of mixed messaging and will do anything to keep her name in the news. Any news, bad or good, is good news in her eyes.
Sarah is a winner
In an article I noted yesterday, Charles Lane wrote:
“Ideally, the delicate decisions about how to manage life’s end would be made in a setting that is neutral in both appearance and fact. Yes, it’s good to have a doctor’s perspective. But Section 1233 goes beyond facilitating doctor input to preferring it. Indeed, the measure would have an interested party -- the government -- recruit doctors to sell the elderly on living wills, hospice care and their associated providers, professions and organizations. You don’t have to be a right-wing wacko to question that approach.” [5]
I agree. Last year, I issued a proclamation for “Healthcare Decisions Day.” [6] The proclamation sought to increase the public’s knowledge about creating living wills and establishing powers of attorney. There was no incentive to choose one option over another. There was certainly no financial incentive for physicians to push anything. In fact, the proclamation explicitly called on medical professionals and lawyers “to volunteer their time and efforts” to provide information to the public.
Comparing the “Healthcare Decisions Day” proclamation to Section 1233 of HR 3200 is ridiculous. The two are like apples and oranges. The attempt to link the two shows how desperate the proponents of nationalized health care are to shift the debate away from the disturbing details of their bill.
Read more
http://www.facebook.com/sarahpalin#/note.php?note_id=116979483434
Concerning the "Death Panels"
Yesterday President Obama responded to my statement that Democratic health care proposals would lead to rationed care; that the sick, the elderly, and the disabled would suffer the most under such rationing; and that under such a system these “unproductive” members of society could face the prospect of government bureaucrats determining whether they deserve health care.
The President made light of these concerns. He said:
“Let me just be specific about some things that I’ve been hearing lately that we just need to dispose of here. The rumor that’s been circulating a lot lately is this idea that somehow the House of Representatives voted for death panels that will basically pull the plug on grandma because we’ve decided that we don’t, it’s too expensive to let her live anymore....It turns out that I guess this arose out of a provision in one of the House bills that allowed Medicare to reimburse people for consultations about end-of-life care, setting up living wills, the availability of hospice, etc. So the intention of the members of Congress was to give people more information so that they could handle issues of end-of-life care when they’re ready on their own terms. It wasn’t forcing anybody to do anything.” [1]
The provision that President Obama refers to is Section 1233 of HR 3200, entitled “Advance Care Planning Consultation.” [2] With all due respect, it’s misleading for the President to describe this section as an entirely voluntary provision that simply increases the information offered to Medicare recipients. The issue is the context in which that information is provided and the coercive effect these consultations will have in that context.
Section 1233 authorizes advanced care planning consultations for senior citizens on Medicare every five years, and more often “if there is a significant change in the health condition of the individual ... or upon admission to a skilled nursing facility, a long-term care facility... or a hospice program." [3] During those consultations, practitioners must explain “the continuum of end-of-life services and supports available, including palliative care and hospice,” and the government benefits available to pay for such services. [4]
Now put this in context. These consultations are authorized whenever a Medicare recipient’s health changes significantly or when they enter a nursing home, and they are part of a bill whose stated purpose is “to reduce the growth in health care spending.” [5] Is it any wonder that senior citizens might view such consultations as attempts to convince them to help reduce health care costs by accepting minimal end-of-life care? As Charles Lane notes in the Washington Post, Section 1233 “addresses compassionate goals in disconcerting proximity to fiscal ones.... If it’s all about obviating suffering, emotional or physical, what’s it doing in a measure to “bend the curve” on health-care costs?” [6]
As Lane also points out:
Though not mandatory, as some on the right have claimed, the consultations envisioned in Section 1233 aren’t quite “purely voluntary,” as Rep. Sander M. Levin (D-Mich.) asserts. To me, “purely voluntary” means “not unless the patient requests one.” Section 1233, however, lets doctors initiate the chat and gives them an incentive -- money -- to do so. Indeed, that’s an incentive to insist.
Patients may refuse without penalty, but many will bow to white-coated authority. Once they’re in the meeting, the bill does permit “formulation” of a plug-pulling order right then and there. So when Rep. Earl Blumenauer (D-Ore.) denies that Section 1233 would “place senior citizens in situations where they feel pressured to sign end-of-life directives that they would not otherwise sign,” I don’t think he’s being realistic. [7]
Even columnist Eugene Robinson, a self-described “true believer” who “will almost certainly support” “whatever reform package finally emerges”, agrees that “If the government says it has to control health-care costs and then offers to pay doctors to give advice about hospice care, citizens are not delusional to conclude that the goal is to reduce end-of-life spending.” [8]
So are these usually friendly pundits wrong? Is this all just a “rumor” to be “disposed of”, as President Obama says? Not according to Democratic New York State Senator Ruben Diaz, Chairman of the New York State Senate Aging Committee, who writes:
Section 1233 of House Resolution 3200 puts our senior citizens on a slippery slope and may diminish respect for the inherent dignity of each of their lives.... It is egregious to consider that any senior citizen ... should be placed in a situation where he or she would feel pressured to save the government money by dying a little sooner than he or she otherwise would, be required to be counseled about the supposed benefits of killing oneself, or be encouraged to sign any end of life directives that they would not otherwise sign. [9]
Of course, it’s not just this one provision that presents a problem. My original comments concerned statements made by Dr. Ezekiel Emanuel, a health policy advisor to President Obama and the brother of the President’s chief of staff. Dr. Emanuel has written that some medical services should not be guaranteed to those “who are irreversibly prevented from being or becoming participating citizens....An obvious example is not guaranteeing health services to patients with dementia.” [10] Dr. Emanuel has also advocated basing medical decisions on a system which “produces a priority curve on which individuals aged between roughly 15 and 40 years get the most chance, whereas the youngest and oldest people get chances that are attenuated.” [11]
President Obama can try to gloss over the effects of government authorized end-of-life consultations, but the views of one of his top health care advisors are clear enough. It’s all just more evidence that the Democratic legislative proposals will lead to health care rationing, and more evidence that the top-down plans of government bureaucrats will never result in real health care reform.
- Sarah Palin
[1] See http://blogs.abcnews.com/politicalpunch/2009/08/president-obama-addresses-sarah-palin-death-panels-wild-representations.html.
[2] See http://edlabor.house.gov/documents/111/pdf/publications/AAHCA-BillText-071409.pdf
[3] See HR 3200 sec. 1233 (hhh)(1); Sec. 1233 (hhh)(3)(B)(1), above.
[4] See HR 3200 sec. 1233 (hhh)(1)(E), above.
[5] See http://edlabor.house.gov/documents/111/pdf/publications/AAHCA-BillText-071409.pdf
[6] See http://www.washingtonpost.com/wp-dyn/content/article/2009/08/07/AR2009080703043.html].
[7] Id.
[8] See http://www.washingtonpost.com/wp-dyn/content/article/2009/08/10/AR2009081002455.html].
[9] See http://www.nysenate.gov/press-release/letter-congressman-henry-waxman-re-section-1233-hr-3200.
[10] See http://www.ncpa.org/pdfs/Where_Civic_Republicanism_and_Deliberative_Democracy_Meet.pdf
[11] See http://www.scribd.com/doc/18280675/Principles-for-Allocation-of-Scarce-Medical-Interventions.
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Advanced Care Planning
So would you repeal the Advanced Care Planning laws that now exist in all 50 states and the District of Columbia?[1] No one equates these with euthanasia; they are good personal medical policy.
[1] http://www.caringinfo.org/stateaddownload