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Death Panels! Socialized Medical Hell

Discussion in 'BBS Hangout: Debate & Discussion' started by gifford1967, Aug 12, 2009.

  1. basso

    basso Member
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    neither is "I Won."

    and, not so incidentaly, i agree with everything else you wrote in that post. the deficit has quadrupled in Obama's 1st 8 months. and yet, the only repsonse he and his supporters can muster is "BUSH."
     
  2. gifford1967

    gifford1967 Member
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    Could you be more trite or tiresome?
     
  3. basso

    basso Member
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    doubtful.
     
  4. solid

    solid Member

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    I strongly connect with your post.
     
  5. thumbs

    thumbs Member

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    Careful. If you agree with me, you'll get a bad rep. ;)
     
  6. mc mark

    mc mark Member

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    Maybe you should listen to your own party
     
  7. rocketsjudoka

    rocketsjudoka Member

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    Seriously you are telling me those people screaming about socialism actually want a national health plan.. :confused:
     
  8. LScolaDominates

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    Wow. That's one jumbled mess of straw men. Lawyers, Obama, illegal aliens...oh my!
     
  9. basso

    basso Member
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    you asked for specifics:

    [rquoter]Sarah Palin: Concerning the "Death Panels"

    Sarah Palin's Notes
    Concerning the "Death Panels"
    Wed at 8:55pm
    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/politicalp...-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.[/rquoter]
     
  10. aghast

    aghast Member

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    Why did you have the "white gorilla" imprisoned in the bag, and let all the other gorillas out to play with one another?

    RACISM!!!

    TERRIBLE, HORRIBLE RACISM!!!

    A Palinism:
    To anyone who takes anything Palin says seriously about an effort to increase the elderly's ability to write their own living wills, merely adding footnotes to your cracked-out ramblings does not make it so.

    See:

    Why did you have the "white gorilla"[1] imprisoned[2] in the bag[3], and let all the other gorillas out to play with one another?

    RACISM[4]!!!

    TERRIBLE, HORRIBLE RACISM[5]!!!

    My bulletproof research follows:
    [1]
    [​IMG]
    [2]
    [​IMG]
    [3]
    [​IMG]
    [4]
    [​IMG]
    [5]
    [​IMG]
     
  11. aghast

    aghast Member

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    Also,

    ThinkProgress.org: "For ‘Death Panels’ Before She Was Against Them? Palin Endorsed End Of Life Counseling As Governor"

     
  12. rocketsjudoka

    rocketsjudoka Member

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    That's some tortured logic from Palin especially when she herself acknowledges.

    "Though not mandatory, as some on the right have claimed, "

    First off the bill doesn't mention anything about "death panels" as Palin said. That right there is a leap already. Further no where in Palin's own description does it show that people are forced to accept end of life decisions from doctors. While she talks about that doctors could engage in discussions about those issues nothing says that patients have to accept that advice.
     
  13. JeopardE

    JeopardE Member

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    ^^ I'm shocked, SHOCKED by these revelations.
     
  14. GladiatoRowdy

    GladiatoRowdy Member

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    When Bush is the one that created over half of that increase (TARP and Iraq/Afghanistan), it is difficult to overlook his contribution.
     
  15. thumbs

    thumbs Member

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    We already have a national health plan. It's called Medicare. A lot of people are comfortable with it and don't want it jeopardized. Medicare does need adequate funding, which at present it does not have. A Medicare plan for everyone might be a good solution, but the fear is that the Obama government will change this workable plan to a non-workable plan.

    When no one can get a straight answer as to how a national plan would work, the flames of that fear is fanned. Generally speaking, the older one gets, the less comfortable one is with change, especially radical change.
     
    #235 thumbs, Aug 14, 2009
    Last edited: Aug 14, 2009
  16. GladiatoRowdy

    GladiatoRowdy Member

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    So, in Sarah Palin's opinion, if the insurance company gives someone "end of life counseling," it is a reasonable benefit, but if a government backed insurance company does it, it is a "death panel."

    I completely understand now.

    [​IMG]
     
  17. geeimsobored

    geeimsobored Member

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    This I dont get. There are bills on the table that you can read. Instead we are fed misinformation and outright lies by people like Sarah Palin on things they know nothing about. Yes its a large bill (as any bill of this magnitude is) but the idea that we dont know anything about this, is silly.

    And for the record, if this new system is run like Medicare, we'll have some serious problems. Medicare is an example of how not to run a public option. The amount of sheer fraud and mismanagement of medicare makes me scared if a new public option turns into medicare.
     
  18. thumbs

    thumbs Member

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    It Takes a Village to make a real mess. If there were only one villain rather a coalition, the problem would be quickly resolved. Think of those straw men as so many pages of a telephone book. One page tears easily. It is not so easy to tear the whole book at one time.
     
  19. aghast

    aghast Member

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    But the strawmen are not pieces of paper. It's all horse----. And the decently hot knife of reality should be able to slice right through a mountain of such horse----.
     
  20. thumbs

    thumbs Member

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    You have a childhood friend. You know he two or three percent of the time when he visits, he's going to make off with a piece of silverware or one of your good cups. However, most of the time he's there to help move your furniture and help you get stuff done. The good he does offsets the bad -- you know his strengths and weaknesses and you can accept him as he is because he is an old friend.

    Medicare is much the same for us older people. It has its flaws but also its positives. Those protesters don't feel comfortable with a new plan because they don't know the flaws yet and they don't see any added benefits.

    Forgive me for being simplistic, but I'm trying to explain why people are so adamantly opposed to moving out of their comfort zones
     

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