Add this Page to Facebook!   Submit to Twitter   Submit to Reddit   Submit to Stumble Upon   Pin It!   Fark It!   Tell A Friend  
Printer Friendly Page Save As Favorite Save As Favorite View Article Stats
No comments

General News

Palin's Rhetoric Torpedoed Medicare Savings

By (about the author)     Permalink       (Page 1 of 2 pages)
Related Topic(s): ; ; , Add Tags Add to My Group(s)

View Ratings | Rate It

Headlined to H2 5/15/12
Become a Fan
  (16 fans)

opednews.com

This article first appeared at the Center for Public Integrity web site on May 14, 2012

"Death panel' charge demonized crucial end-of-life consultations.

We'll be hearing a lot from politicians this summer and fall about the urgency of dealing with Medicare spending, which will begin to rise sharply in the coming years as increasing numbers of the country's 75 million baby boomers turn 65.

If we're fortunate, some courageous candidates will call for renewed debate on a provision of the health care reform bill that had once enjoyed bipartisan support. The one that spineless Democrats decided had to be yanked when a certain former vice presidential nominee claimed, falsely, that it would create government-run "death panels."

Medicare expenditures now total more than half a trillion dollars annually, representing 15 percent of federal spending.  The only programs to which the government devotes more dollars are Social Security and national defense, both of which consume 20 percent of yearly federal outlays.

The Congressional Budget Office projects that the average annual growth in Medicare spending will be 5.8 percent between 2012 and 2020. It would have been one percentage point higher than that, according to the CBO, if not for the cost-constraining provisions of the Affordable Care Act,  most notably the one that will gradually eliminate the bonuses the government pays private insurers to participate in the Medicare Advantage program.

The Affordable Care Act might have been able to curtail spending further if it hadn't been for Sarah Palin's reckless rhetoric. It was Palin who charged that a provision of the law allowing Medicare to pay doctors for having end-of-life discussions with their patients would lead to government-run "death panels."

That provision was important because, according to the Congressional Research Service, about one-fourth of total Medicare spending is for the last year of life, and a lot of that spending could be avoided if more folks received counseling from their doctors on what they should do to ensure that their wishes are carried out when the grim reaper comes calling.

No one understands this better than Dan Morhaim, an adjunct professor in the Johns Hopkins Bloomberg School of Public Health and deputy majority leader of the Maryland House of Delegates.  Morhaim, who also has been an emergency room physician and internist,  has seen many cases in which people were hooked up to machines in vain attempts to restore their health -- so many, in fact, that he wrote a book that should be required reading on Capitol Hill.

After reading Morhaim's book, "The Better End--Surviving (and Dying) on Your Own Terms in Today's Modern Medical World," you'll want to be sure you have a living will or advance directive in place--for your own good, for your family's good and for your country's as well.

Advance directives, which allow you to specify the kind of care you want as you approach the end of  life, "offer something rare and important in our modern medical system," Morhaim wrote. "They provide an opportunity to exert influence."

And that's never been more important, Morhaim contends. "As the baby boom generation reaches its senior years, as new lifesaving medical treatments are announced almost weekly and as our health care system confronts a crisis of affordability, the need is urgent for ordinary people to demand participation in end-of-life decisions."

Another physician lawmaker who once shared Morhaim's passion on this issue is Rep. Charles Boustany of Louisiana. Boustany, a heart surgeon, was one of three Republicans who cosponsored a bill in 2009 that formed the basis of the provision Palin maligned and mischaracterized.

When other Republicans began adopting Palin's talking point, Boustany was forced to defend his support of the original bill. He was quoted as saying that he knew of many situations in which a critically ill patient hadn't made his wishes known, leaving family members with the burden of making end-of-life treatment decisions.  "This happens every day, multiple times, in hospitals across the country," he said. "It's a very important issue."

The principal sponsor of the legislation, Rep. Earl Blumenauer, D-Ore., said he was stunned when the controversy erupted. "It's just beyond bizarre," he told reporters at the time, noting that his bill had broad bipartisan support before Palin posted the death-panel charge on her Facebook page.

What was a good idea then is a good idea now, but Palin so poisoned the well that not a single Republican, not even Boustany, will go near it, certainly not in an election year. Blumenauer has reintroduced the measure as a stand-alone bill, and it has several cosponsors. But as you might imagine, all of them are Democrats. And because Republicans now control the House, Blumenauer hasn't even been able to get a hearing on the measure.

Next Page  1  |  2

 

for 20 years, Wendell Potter worked as a senior executive at health insurance companies, and saw how they confuse their customers and dump the sick -- all so they can satisfy their Wall Street investors.
Wendell Potter is an Analyst at the (more...)
 
Add this Page to Facebook!   Submit to Twitter   Submit to Reddit   Submit to Stumble Upon   Pin It!   Fark It!   Tell A Friend
The views expressed in this article are the sole responsibility of the author and do not necessarily reflect those of this website or its editors.

Writers Guidelines

Contact Author Contact Editor View Authors' Articles

Most Popular Articles by this Author:     (View All Most Popular Articles by this Author)

Health Insurance Exec Whistleblower Wendell Potter Testifies Before Congress

Does the U.S. Have the World's Best Health Care System? Yes, If You're Talking About the Third World

Ryan's Medicare Plan Would Be a Windfall for Insurance Companies

Fresh Evidence That Health Insurers Value Profits Over People

The Insurers' Real Agenda for Change

Keep Nataline's Spirit of Christmas Alive

Comments

The time limit for entering new comments on this article has expired.

This limit can be removed. Our paid membership program is designed to give you many benefits, such as removing this time limit. To learn more, please click here.

Comments: Expand   Shrink   Hide  
No comments