« BACK  |  PRINT

RS

EDITOR OF REDSTATE

Barack Obama Fully Embraces Death Panels

While everyone else was focused on Barack Obama bashing Paul Ryan, I noticed that he took full ownership of death panels yesterday. Naturally, Obama did not call them death panels. He called them “an independent commission of doctors, nurses, medical experts and consumers.” But his description hits dead on with what his death panels will do.

According to Barack Obama yesterday, the death panels “will look at all the evidence and recommend the best ways to reduce unnecessary spending while protecting access to the services seniors need.”

We already know what they’ll recommend as “the best ways to reduce unnecessary spending”. Barack Obama’s own advisers have told us. They will prioritize giving health care to healthier people and let sicker people die. At end of life, they will deny people life sustaining treatment because, after all, they’re going to die anyway. Note his phrasing: “protecting access to the services seniors need.” Dying people, according to Obama’s advisers, need hospice not hope. They certainly do not need expensive treatments that may buy them time to see the birth of a new grandchild or other reasons.

“We will change the way we pay for health care – not by procedure or the number of days spent in a hospital, but with new incentives for doctors and hospitals to prevent injuries and improve results. . . . If we’re wrong, and Medicare costs rise faster than we expect, this approach will give the independent commission the authority to make additional savings by further improving Medicare,” Obama said. At a time Democrats are saying Republicans want to starve old people to death, Democrats are intent on embracing a cost savings model for Medicare that incentivizes doctors to encourage people to die and, when all else fails, gives a death panel “the authority to make additional savings by” ensuring the dying elderly die quickly.

“Our approach lowers the government’s health care bills by reducing the cost of health care itself,” Obama said. Really? The only way that will happen is by rationing. You may not like the use of the phrase “death panel,” but make no mistake about it — at the end of your life, in Barack Obama’s America, his death panel will throw you under the bus in a way much closer to reality than metaphor.

COMMENTS

  • ohiohistorian

    Elections should not matter so much. If liberals were represented proportionately to their population, they would hold about 30% of the seats, and conservatives would hold about 40%. Elections would not matter because liberals would be such a minority, there would be no reason for them to be running anything in Washington.

    What Nancy should have continued on to say is that there is no reason that politicians should lie about who they are to get elected just so that they can then come out of the closet as a liberal. I remember Sherrod Brown here running; I didn’t hear word one about him wanting to make the Bush deficits look puny, and to rescue banks and automobile companies. But that is what he voted for in Washington.

    Nancy, elections would not be important if you and your fellow travelers told the truth. We would get the Congress we deserve, not the one we were hoodwinked into voting for. By the way, what happened to the most open and most honest Congress you promised us? How did that equate with the Louisiana Purchase and the Arkansas Buyout? Pretty big lie, wasn’t it?

  • flamerock

    Once the Potemkin village called Obamacare fails, as it will, Barry and the Obamatrons will present their bright, shiny new single payer system as THE answer to all our woes – and the sheeple might just buy it. If they do, then we’ll really know what the phrase “death panels” means.

    ?Many men stumble over the truth. Most of them pick themselves up and hurry off as if nothing ever happened.? – Winston Churchill

  • lizabtha

    Of COURSE you are going to have to ration. There is not enough $$ in the country to keep everyone alive up until the last moment possible. Out tech is too good. We can’t afford it, as a gov’t.

    Case in point: 80 yr old cancerous(remission) woman getting a heart by-pass, pacemaker, stents and new knee. She was angry because they only gave her the 20-yr knee, not the 30-yr knee.

    Omg: rationing!!

    All on your dime, folks. And the poor creature is miserably
    ill after all of this, not expected to live long. But we owed her, so there. And the doctors were happy $$ to oblige.

  • dudette

    to repeal this mess? I hate to sound stupid, but have we completely lost our way here?

  • NeoKong

    The reason that medicare is not working is because there wasn’t enough govt. bureaucracy.
    What else could improve the system while making it more affordable than thousand of additional unaccountable employees who need to justify their jobs and are rewarded with bonuses for making cuts….?
    It could be like a whole new agency with all their own buildings staff , annual budgets, fleets of cars and pensions.

    If we are lucky they might even form a union.

  • runner12

    So you are okay with where this is going? Don’t you see the slipper slope you are on? First it will be seniors, then people and children with disabilities.

    Are you prepared for the horror stories in the UK happening here?

    Oh and I forgot, if you beat cancer then you are no longer qualified for further medical procedures. Tell that to the millions of women who have survived breast cancer.

    You clearly have no concept of history or how this kind of thinking effects the health care system.

  • chester1

    You continue to perpetuate the myth that using research-based information to informal medical decision making is the same as death panels. I recommend you read some of the writing of Atul Gwande to see how more medicine is not usually better medicine.

  • http://theminorityreportblog.com Repair_Man_Jack

    you lose on comparative effectiveness. Adopt that metric and treating old people at hospitals at all becomes an immoral activity and a waste.

  • Kyle-MI

    Should we let the panels decide even if the patient can afford to choose the treatment they want?

  • MikeG (Icythus)

    And you continue to perpetuate the myth that a panel of “experts” i.e. elites is more qualified to make decisions about the way we live and run our lives than we are. Spare me the central planning BS; I’ve heard it all before.

    Don’t you have an Obama shrine in your home that needs polishing?

  • Kyle-MI

    Don’t fall into the trap of using their terminology. Who is this “single payer”? Is it some big corporation? Cause if it was some big business, I don’t think Obama and his liberal buddies would be so open to this possibility. No, they mean complete government control of healthcare. Of course, single payer sounds less ominous, but why should we who oppose it make it sound more palatable? Not only should we not use their words, we need to call them on it when they use this Orwellian double-speak.

  • lizabtha

    Reality is a stern task-mistress, Runner.

    Tell me how we keep all people alive as long as our technology allows and pay for it. Until you do so, you’re just emoting.

    Look, we all die. Some young, some old, but off we must go. Cancerous, disabled, healthy…off we all go. Face it.

  • Marcus_Traianus

    Never in my entire lifetime have I witnessed a President delivering such a screed.

    I am certainly not naive and therefore expect a certain amount of partisan content irrespective of party. However, this oratory was not only devoid of a plan, but largely fallacious in content, misguided in it’s intent, angry in delivery and either a display of gross incompetence or egregious misunderstanding of the issues.

    Republican’s at least understand the serious at hand and have assembled a plan under Mr. Ryan’s leadership. Agree, or disagree for that matter with portions of what has been written. But do so on a factual, verifiable basis. Not with overheated, misleading, misguided and fallacious political speech. That is not only un-presidential, it is un-American.

  • blogan2

    Let’s say you have an 80-year-old who needs a new knee. Part of this rationing may be “Well, you can just be in a wheelchair, because it’s not cost-effective to give you a new knee.”

    People aren’t disagreeing over the extreme example you give above, but over examples like this.

  • runner12

    is in that same position. I seriously doubt you will. All liberals like to implement socialist change as long as they are not subjected to it. That is why there are so many companies who have received waivers for ObamaCare and why prominent leaders from countries with single-payer systems come to the United States for medical care

    I am a health care professional and I work in pediatric rehab with the very people you so callously dismiss. I will fight to the death for their quality of life and make no apologies for it.

    There are real ways to cut healthcare costs. We can begin by serious torte reform. This is usually the culprit behind over-testing and increased procedures. Doctors fear they will be sued.

    Another real way to cut cost is to allow people to buy insurance across state lines. There are many more options. None of which involves implementing a socialist-style form of medical care.

    I know that you are a Leftist troll, but if you wish to get on this site and try to debate the merits of a socialist-style health care system at least do a little research on how your line of thinking has played out in history.

    I will give you a hint, you can begin looking up the philsosphy of Hitler and the Third Reich.

  • runner12

    wheelchair is? It is not chump change. We are not talking about the cheap folding ones that you get when you leave the hospital.

    There are also possible negative side effects to being in a wheelchair that would need to be considered before recommending such a step. Does the patient have good circulation? Sensation? Will placing them in a wheelchair increase the chances of pressure sores? Is the home ADA accessible? How will the wheelchair be transported?

    The choices are not as simple as you purport.

    I also hope you read the reply lizabtha sent. She was indeed talking about the extreme examples I listed above.

  • runner12

    wheelchair is? It is not chump change. We are not talking about the cheap folding ones that you get when you leave the hospital.

    There are also possible negative side effects to being in a wheelchair that would need to be considered before recommending such a step. Does the patient have good circulation? Sensation? Will placing them in a wheelchair increase the chances of pressure sores? Is the home ADA accessible? How will the wheelchair be transported?

    The choices are not as simple as you purport.

    I also hope you read the reply lizabtha sent. She was indeed talking about the extreme examples I listed above.

  • http://www.neoavatara.com/blog neoavatara

    This is always the problem…SOMEONE HAS TO CHOOSE.

    You cannot sit by and not make a decision.

    Liberals believe in big brother…having experts decide for you.

    As a physician, I would prefre that experts give patients the information, and allow them to choose.

    This is not a perfect solution either, as there are many people who simply do not have the capability to make an informed choice. But that is the world we live in. Either we believe in big brother, or believe in ourselves. Nothing is perfect, but in this country we still believe in personal choice and responsibility.

    At least, I hope so.

  • lizabtha

    I am a conservative.

    And yes, my family has discussed these issues at length. We all realize that we have a finite amount of time upon this earth, and have made peace with that. I suggest you do the same.

    Ah, you bring up ‘quality of life’, for which you will ‘fight to the death’. Well, my case above is sorely lacking in ‘quality of life’ after everything the medicos did to her.

    You still haven’t put forth any real options for paying for complete care in all cases, btw.

    But that’s okay. I can see that you are more emotional than rational.

    Let me ask you this: if a young family has a house, bought and paid for in full( they have some wealth, iow), should the gov’t force them to sell it, so that they can pay more in tax to fund my 80 yr old woman’s health expenses? What if that young family has a disabled child in need of reasonable medical care? Who wins, the 80 yr old or the young family?

    Runner, you need to face facts. You’re going to die. We all are. It’s okay, that’s what happens to people.We have fantastic technology, but no way to fund extraordinary care for all people in all cases. That’s just reality. Rationing in a necessity.

  • edintexas

    Those who control the terminology, control the debate. I don’t know who first said that, it has been around in the Pro-Second Amendment side for some years, but it certainly is true.

  • methodius

    and the death panels. In the last five years I have survived kindney cancer, bile duct cancer, chemo, radiation, a liver transplantm, loosing 1/3 of my stomach and the first three feet of my small intestine to radiation damage, pancreatic damage due to radiation (now diabetic as a result), and numerous other complications from the 7 major abdominal surgeries I have had. The rare liver disease that caused the bile duct cancer has returned despite the liver transplant and I will need another liver transplant in maybe five to seven years. I am only 41 years old. Will I get it when I need it?

    I and my insurance have spent a combined $2.5 million on my treatment. so the question becomes, “When will one of these death panels say I have had enough?” During the last five years I have worked when I could, written and published different things on the side, and have tried hard to keep my family together and solvent (I have three teenage children). Despite the fact that my body is not what it once was and I spend a lot of time in the hospital still (as an example 2009 was 106 days) I do whatever I can to remain as active as I can with the family, work, community and politics. While I may not be as “productive” in the eyes of society as someone who is my age and healthy I still contribute. But it still makes me wonder when some panel will declare I am not contributing enough and I have exceeded my share of medical resources. And I do not hink I am being paranoid or fretting needlessly.

  • edintexas

    As a not very old (at least I’d like to think so) cancer survivor, I reject your opinion that this is a necessity. You seem to assume that government will be paying in all cases. I refused Medicare Part B because I have health insurance which does not require that I have Medicare Part B (you can’t reject Part A, or I would have), so aside from some days of hospitalization, the government will not be paying for my medical care but an insurance company will be on the hook.

    Further, I’d just like to know who is doing the deciding. Someone, group, bureaucrat or other entity has to decide who will go without treatment in your ‘Brave New World” of necessarily limited medical treatment. Will the decisions be only for Medicare and Medicaid, or do you envision the decisions being forced on private entities also? How about people with the ability to self-pay? Will you deny them that which they are able to pay for, or do you believe private payment will need to be eliminated?

    Enquiring minds wish to know (well, at least mine does).

  • Tbone

    as I recall.

    Anyone know what the other potential contenders call these death panels?

  • edintexas

    I certainly can agree with this: “…more medicine is not usually better medicine.” That medicine which is usually termed “defensive medicine”, intended to ensure a defense to tort claims, is not better medicine and is often exactly the reason for “more medicine”.

  • edintexas

    Surely you didn’t expect anything different from Dear Leader?

  • ruascott1

    Medicare, not private insurance.

  • ruascott1

    Medicare, not private insurance.

  • ruascott1

    You are right, Medicare should just pay for any and every treatment that anybody wants at any age and in any health condition right? Knee replacements for terminally ill patients? No problem. Medicare is a never ending slush fund correct?

    Just complete hypocrisy. Private insurance rations currently, Medicare for the most part doesn’t. That’s why we have run away costs in the system. How many ads do you see on TV targeting seniors saying buy our medical equipment and we will bill Medicare for you? You either want to get gov’t health care spending under control or you don’t. Your approach signifies and never-ending smorgasboard of medical care, with no restrictions whatsoever, with the rest of society picking up the tab.

    No one is ever stopped from paying for their own medical procedures out of pocket. No one is stopped from forgoing Medicare and buying their own private insurance that will pay for everything and anything forever (not that they really exist).

  • ruascott1

    You are right, Medicare should just pay for any and every treatment that anybody wants at any age and in any health condition right? Knee replacements for terminally ill patients? No problem. Medicare is a never ending slush fund correct?

    Just complete hypocrisy. Private insurance rations currently, Medicare for the most part doesn’t. That’s why we have run away costs in the system. How many ads do you see on TV targeting seniors saying buy our medical equipment and we will bill Medicare for you? You either want to get gov’t health care spending under control or you don’t. Your approach signifies and never-ending smorgasboard of medical care, with no restrictions whatsoever, with the rest of society picking up the tab.

    No one is ever stopped from paying for their own medical procedures out of pocket. No one is stopped from forgoing Medicare and buying their own private insurance that will pay for everything and anything forever (not that they really exist).

  • ruascott1

    “death panels” from Palin the result of Medicare paying for “end of life” counseling from a physician? If so, isn’t covering this giving you exactly what you think is best?

  • ruascott1

    “death panels” from Palin the result of Medicare paying for “end of life” counseling from a physician? If so, isn’t covering this giving you exactly what you think is best?

  • Finrod

    .

  • scmom

    This most recent waste of time and energy, that is laughably called a “Presidential Presentation of his Plan” is a perfect example of why so many of us consider him to be a puppet.
    I ask you, in all seriousness. Does he really not realize how stupid he sounds? Does he truly not see the jaws drop and the appalled looks from those around him? Does he really have so little respect for common intelligence that he thinks he will get away with this?
    If I was asked by my boss to give alternatives and present a plan for re-structuring an area or saving money for my company, I would be FIRED for this kind of drivel.
    This is just disgraceful. He’s not even trying to hide the lies now, he’s just spitting them out there on the floor and daring us to say something about it.

  • finishstrongdoc

    “If you build a man a fire, he will be warm for a day. If you set a man on fire, he will be warm for the rest of his life.”

  • Marcus_Traianus

    But I have to say when Mr. Obama delivered this rant, my mouth was wide-open. It was almost surreal and I kept hoping it was a parody.

    This President is nowhere near even the top-half of the best America has to offer. Nor is he anywhere near our best or brightest. He is simply an angry man looking to settle a grudge and remake our country in his own vision. Mr Obama is simply an anathema to everything that makes our country great. We will be a much better country and truly begin healing as a nation when he becomes a civilian again.

  • taylerdog23

    Since when is endless medical treatment and costs associated with it, borne by taxpayers, a conservative idea?

    What’s most interesting here is what I expect to be a generational issue–I would bet money that those of you hyping this “Death Panel” hysteria are almost certainly Boomers or Greatest Generation folks. And while you sit around and complain about creeping Socialism and out of control government spending, you violently recoil at the possibility that you may not be able to get absolutely every medical procedure you want on the taxpayer’s dime.

    Instead of engaging in a rational debate about how to fix a broken health care system and achieve efficiency, you instead go the intellectually lazy “death panel” route and use fear to silence the discussion.

    And yes, I’m biased here because I’m young, pay a ton in taxes, and know that I will never get back even a small percentage of the government benefits I’m forced to “invest” in. But I’m sick of hearing self-professed older conservatives complain about Government spending while trying to shut down all debate on healthcare reform efficiencies.

    To Boomer and the Greatest Generation–you say you fight for fiscal conservatism because you’re concerned about your children and grandchildren. I think that’s bull because if you really did care about us, you’d be leading the conversation about health care cost efficiencies.

    When you refer to them as “death panels” to invoke fear, you appear as little more than hypocritical cowards to me.

  • taylerdog23

    of letting “facts” get in the way of this discussion.

    jump on the hyperbolic fear bandwagon with the rest of Death Panelers and enjoy the stupid ride.

    :)

  • http://www.scragged.com petrarch

    lizabtha is right. Of course there will be rationing. There has to be – it is impossible to afford all the healthcare that could conceivably be consumed by everybody. We ration everything – not everybody gets to drive a Ferrari though we all would like to.

    The question is, WHO does the rationing?

    In a free market, each individual person does their own rationing based on what is important to them and what they can afford. I 100% support this sort of rationing and believe it is the solution to almost all of our healthcare problems.

    Obama wants a totally different sort of rationing, imposed from on high by his elites who Know Better Than You and can decide that you simply aren’t worth the government’s money to patch up. That’s evil.

  • ruascott1

    I have seen it even in my own family. My father and uncle both spent decades railing on liberalism, over-taxation, out of control gov’t spending and the like…now they find themselves on Medicare and my father talks about how wonderful its been as he was diagnosed with oral cancer. Good luck convincing him that Medicare needs benefit cuts, because after 40 years of being self-employed and having only major-medical insurance which covered next to nothing, he now loves the idea of socail insurance….even though the words will never come out of his mouth.

    You are either a conservative or you aren’t. Erick is showing his true colors here, he’s much more a politcial hitman than a reasonable intellectual conservative. Sadly its his kind that dominate the discussion.

  • ruascott1

    I have seen it even in my own family. My father and uncle both spent decades railing on liberalism, over-taxation, out of control gov’t spending and the like…now they find themselves on Medicare and my father talks about how wonderful its been as he was diagnosed with oral cancer. Good luck convincing him that Medicare needs benefit cuts, because after 40 years of being self-employed and having only major-medical insurance which covered next to nothing, he now loves the idea of socail insurance….even though the words will never come out of his mouth.

    You are either a conservative or you aren’t. Erick is showing his true colors here, he’s much more a politcial hitman than a reasonable intellectual conservative. Sadly its his kind that dominate the discussion.

  • powertothepeople

    you popping up on this thread and yet you seem to not have the first clue as to what you are talking about. Let me try to help you out on this post.

    First, Erick made no assertion that medicare/medicaid should pay for a knee replacement for a terminal patient, that was another poster who made a ridiculous comparison and example. But even using that example, you would have to know how long the patient has to live prior to taking sides on the knee issue. Are they terminal within a short period of time such as 3 months or less or are they terminal in the range of two years. If their terminal status is long term and they need a knee to maintain quality of life, it should be done. Bedridden and short term, maybe not but again has to be a case by case comparison.

    Second, private insurance does not ration. You should really learn the definition of ration prior to using it. Rationing means simple, the splitting of assets between a number of people. Private insurance pays what you pay for and pays on a prior set agreement. Every person who signs up for private insurance knows their limit of care, amount of co pay, what is covered and what is not, and pay accordingly. If a person wants more coverage, they pay more. I may have a 10 million lifetime coverage but pay more than another who has only 1 million. I may pay for 100% coverage with no money out of pocket, another may make it limited coverage with an 80/20 pay due to their inability to pay the extra money I do. Private insurance refuses to pay for certain care, but that is due to many factors, rationing is not one of them. They may refuse to pay because it is not covered under the plan a person holds, it may be refused due to limits of coverage financially, may be refused due to the persons inability to pay the co pay, may be refused due to the cost and the availability of cheaper more proven drugs or treatment, etc. But that is a far cry from rationing.

    Third, people are forced to pay a medicare tax their entire work life and yet never receive benefits until they are at the end of their life. We pay 1.45% of our income to medicare and most of us will pay that fee day after day, month after month, most for well over 35 years. Make only 400 a week and you pay $5.80 a week, $301.60 a year, $10556 over 35 years. After paying this forced payment, you then get denied life sustaining care and much more under the current plan much less what will happen under the wishes of Obama and his plan. Add in the interest a person would make simply saving that money and the problem gets even more problematic. This does not even take into account those who make much more than $400 a week and their sizable donations to the plan.

    If the government does not want to have the burden, then they should end it and on that most of us would agree. But until they do and while they force us all to pay for the promise of medical care after we retire, they need to pay. And deciding what gets paid based solely on worth of life is what the problem is and is what the topic is about.

    The problem is exactly what Erick is talking about. Medicare is unsustainable in its current form and due to the abuse of the money paid into the program by every citizen who works. It is the same problem that SSI has incurred. Rather than leave the money alone, they dipped their hands into it. Had the SSI account been left alone as it should have been, it would have a massive amount of reserve right now as would medicare. So rather than fund it as it was intended, Obama wants to turn it into the same type program that Canada has. He wants to deny care based on age, both young and old, deny based on illness, and want doctors and panels to “convince” those who are ill to crawl out into the “woods” and die leaving more money for those able to pay taxes. This is not an assumption, it is a fact of life in socialized care. Trying to turn back the hands on a clock now is impossible. We made promises to people and forced them to pay for those promises. And for us to now demand, coerce, or flat out refuse to pay for someones care based on their condition, their “worth”, their age, etc is wrong and is 100% what people fear about the upcoming mandated government plan for health care.

    No one is saying, Erick included, that all things should be paid for. There are limits. But when people are encouraged to give up and die or even forced to give up and die just to save a few bucks, their is a problem. Especially since we are the ones who have paid for the coverage for our entire lives. If they want to end it, great. Phase it out. But denying care based solely on age, health, etc is flat out wrong. No one here is demanding they pay for absurd procedures for the close to death patients, but we do have a problem with panels deciding someone is not fit for care they paid for just because they will die in the short term. The intent of Obama and his new direction is to have those who are sick, die. It matters little to him that a buck or two worth of medicine a day may give them an additional month, year, 5 years, he wants them to do the “right thing” for the collective and just lay down and die. He wants them to accept their fate without a fight and just remove themselves from the payment roster. It has nothing to do with giving a dying patient a knee replacement so not sure why you brought that up, it is about allowing patients to fight for life no matter their ability to make payments into the tax coffer.

  • chester1

    “And you continue to perpetuate the myth that a panel of ?experts? i.e. elites is more qualified to make decisions about the way we live and run our lives than we are. Spare me the central planning BS; I?ve heard it all before.”

    Here is what I believe. In a time of increasing health care costs we need to insure that the dollars we spend are being spent wisely. The ultimate decision is between a patient and doctor but doctors need to know which treatments have been proven to be effective and which are not.

    If by “elites” you mean medical researchers then I guess they are more qualified to investigate which treatments work and which don’t. If you want to go to a shaman to treat your cancer, go ahead, but since there is no evidence that is going to have any effect, please spend your own money.

  • chester1

    “The intent of Obama and his new direction is to have those who are sick, die. It matters little to him that a buck or two worth of medicine a day may give them an additional month, year, 5 years, he wants them to do the ?right thing? for the collective and just lay down and die.”

    End of life care is not about telling people to die. It is about giving them the right information so they can make the right decision. The fact is that Physicians are trained to save lives and they can always find yet one more treatment to hold out hope to patients. Yet when patients are given full information about their treatment options and full freedom to make the choice, most will choose for less treatment and more control over how they die. In the end both the patient and their families say that being able to control their last days lead to a “good death”.

    I suggest you read a piece by Atul Gwande in the New Yorker

    http://www.newyorker.com/reporting/2010/08/02/100802fa_fact_gawande

    To get a different perspective

  • http://www.hakubi.us/ Neil Stevens

    If that’s what you think of us then you won’t need your account anymore to shill for Obama.

  • http://www.hakubi.us/ Neil Stevens

    Because you aren’t even trying. You’re just kicking up dust.

  • methodius

    As a result of the length of my illness and the way my insurance works I now have Medicaid as my primary insurance now. And if Obama and his friends have their way it will be a single payer system with the same panels making the decisions, will it not? This goes beyond simply Medicare and “old people”.

  • http://www.hakubi.us/ Neil Stevens

    The fact that you’re seriously citing the New Yorker proves you’re not really needed any further in this discussion.

    Your use of some guy who seemed practically ready to perform oral sex on the President the day Obamacare passed, says it all.

  • rogershru2

    We need to decide as a country how much government should be involved in paying for health care (certainly the less the better). Rationing has to happen when uncle Sam (meaning Joe Taxpayer) pays. There is no way around it. I agree this is bad, and the public should understand this. Some beaurocrat will in fact decide whether grandma gets her operation, if not directly then through policy. It to some extent already happens. It’s just worse in Canada and Europe.

    When we pay our own way, we decide based on what we are willing or able to pay. Just like any other service or good.

  • YnotNOW

    Speaking of another term that Democrats try to avoid speaking while doing exactly that.

    In a world of limited resourses, we cannot do everything for everyone – there must be some limitation. That limitation in Goverment world is RATIONING. That is what Obama’s “Death Panels” do, whatever the name.

    The only other option is CONSUMER CHOICE – such as vouchers or people deciding where to spend their own money. Which is the solution Obama demogogs in Paul Ryan’s plan.

  • YnotNOW

    Speaking of another term that Democrats try to avoid speaking while doing exactly that.

    In a world of limited resourses, we cannot do everything for everyone – there must be some limitation. That limitation in Goverment world is RATIONING. That is what Obama’s “Death Panels” do, whatever the name.

    The only other option is CONSUMER CHOICE – such as vouchers or people deciding where to spend their own money. Which is the solution Obama demogogs in Paul Ryan’s plan.

  • adair

    the aim of Obamacare is to destroy private insurance.

    Methodius and his family are worrying well within reason.

  • YnotNOW

    There will always be equipment/procedures/treatments that have some marginal value, but are debatable whether they are worth the cost. The question is who gets to decide where to draw the line – government or the patient.

    there are no other choices (and don’t say “the doctor” because they are not getting the benefit, only the profit for providing the service, and not the cost of giving it). If we give Goverment the responsibility to pay for care, then they have the control to decide for you. If you retain control of payment, then you get to decide whether it is worth the cost.

  • YnotNOW

    There will always be equipment/procedures/treatments that have some marginal value, but are debatable whether they are worth the cost. The question is who gets to decide where to draw the line – government or the patient.

    there are no other choices (and don’t say “the doctor” because they are not getting the benefit, only the profit for providing the service, and not the cost of giving it). If we give Goverment the responsibility to pay for care, then they have the control to decide for you. If you retain control of payment, then you get to decide whether it is worth the cost.

  • YnotNOW

    Does this info go to physicians, who then explain the costs and benefits to the patient, for each individual to decide what marginal benefit is worth the cost? Or do you give this info to a government bureaucracy that decides what procedures they will pay for, and what they will deny?

    The first is called “informed choice” and the second is called “rationing”

  • YnotNOW

    Does this info go to physicians, who then explain the costs and benefits to the patient, for each individual to decide what marginal benefit is worth the cost? Or do you give this info to a government bureaucracy that decides what procedures they will pay for, and what they will deny?

    The first is called “informed choice” and the second is called “rationing”

  • lunaticrex

    The CinC should have military experience, but the Founding Fathers ensured the military would be led by civilians, including the CinC. Ref: Federalist Papers and Article II of that pesky old document we were founded on.

    Also, with this particular CinC, as a vet I find it offensive when someone implies he is anything other than a civilian. This guy couldn’t make the cut to get into the military (one must attain a certain score on an IQ test)…and certainly not if he needed a security clearance.

  • runner12

    I also do not fear death, as I know where I am going. But nice attempt at using condescension to defend what is a callous attitude.

    As to your example, it is a poor one as I know of few orthopedic surgeons who would operate on an 80 year old woman unless she was in stellar health. Please cite your example and where you derived it from.

    Also, if you would read more carefully you would see that I provided two solutions. One related directly to your example, but I will repeat so that you can learn something. The reason there are many repetitious and unnecessary tests and procedures is in larger part due to frivolous lawsuits. If I had dollar for how many lectures I have sat through regarding liability and avoiding litigation, I would be very rich. The solution is torte reform.

    I encourage you to find someone you know who is a doctor and ask them how much they pay per year in malpractice insurance. It is astronomical.

    As for being emotional, maybe I was a bit at first. This issue is quite personal to me and for a moment I let it get the better of me. If you want to hash this out logically and rationally, fire away.

  • runner12

    It should be the patient’s choice, not government’s. Is is a perfect system? No.

    But is miles better than the UK or some other neo-Socialist system.

  • runner12

    Let me make one thing clear to our dear troll above. I am young and pay a lot in taxes, so the old geezer card does not work here. The difference between our young friend above is that I am a thinking person and I care what happens to my parents and others in their generation.

    Look, no one is saying Medicare should be paying for everything. We can’t afford it. But that decision can take place between doctors and patients, not the government.

  • runner12

    you could give because it is not founded in reality. First of all, no reputable ortho would ever perform a knee replacement on an 80 year old woman. Have you ever seen this surgery performed? Not for the faint of heart I assure you and the rehab is no picnic either.

    Now they do often opt till people are older to do knee replacements if they can because they want the prosthetic to last till the person passes away. This is a cost-saving decision in order to avoid having to go back in and replace the knee again.

  • leefox

    A detached government bureaucrat crunching actuarial numbers can make far better decisions for you than you and your doctor working in concert for your best health outcome.

    We must allow our glorious, anointed president, Barack Hussein Obama, lead us to our brighter, healthier, more prosperous future.

    Aren’t you grateful?

  • taylerdog23

    “Death panels” is a pandering fear slogan created by Sarah Palin to distort the health care reform debate. I agree that the commenter below should not have introduced a New Yorker article into the issue, but regardless of where the information comes from, the fact is that this is about responsible end of life planning, not some bureaucratic panel that decides to pull the plug on Grandma, IMHO.

    I have many, many problems with Obamacare, but I also have a problem with what I see as conservatives injecting fear and distortions into a debate that we could otherwise win on the merits. It makes us look like we’re approaching the health care debate purely from an emotional and (arguably) irrational standpoint and it doesn’t help our cause. Actually seems a little tinfoil hat to me.

    I’m not trying to kick up dust. Red State is a place I come for reasoned discussion, and I do not think that is happening here.

    We can’t just make up facts out of whole cloth to buttress our own opinions, and that’s what I think is happening with “death panels.”

    If you feel I have not addressed the facts, then that’s fair, and I’m happy to hear where you disagree with me.

    And yes, I know you hold the blam stick, but know that I’m not trying to antagonize anyone or purposefully engage in “kicking up dust.”

  • runner12

    too and I am railing against this. This is not just a bunch of old fogies trying to save their Medicare. This is a serious discussion on the possibility of the government being allowed to make decisions that should be between the patient and their doctor.

    There are instances of waste and repetitive and unnecessary tests, but once again this is due in large part to the litigious nature of medicine these days. The costs of malpractice insurance these days is staggering.

    Do some research on some conservative ideas to cut costs and you may understand more of what I am saying. Also look at how rationing has affected health care in the UK.

    I wish the death panels were a myth, but the potential for them to exist if Obama gets his way are very real.

  • runner12

    The above reply was to lizabtha.

  • donnybrooke

    Looks as if that program over at “Media Matters” Erick wrote about is in full swing! ^_^ LOL!

    http://www.redstate.com/erick/2011/03/26/redstate-a-nerve-center-of-the-vast-right-wing-conspiracy/

  • Bill S

    Palin’s introduction of “death panels” was a brilliant tactic that put incredible pressure upon the Democrats. We should use it far and wide. If you don’t have the guts to play the game, you probably need to step aside.

  • taylerdog23

    then I of course take exception to that. If you think it’s effective to simply throw around the troll card when you don’t agree with someone, then I think that’s unfortunate. It’s your life, though.

    As at least one other person has had to explain in this thread when attacked as a “troll,” I am in fact a conservative.

    I of course do not have the answers to the health reform issue, nor do I claim to. I am simply a thinking person who sees a disconnect in the way some of my fellow conservatives deal with health care reform and government expenditures when it affects them.

    I would never want the government making healthcare decisions for me, nor do I want an insurance company doing it. But what we’re talking about here are “death panels,” and my point is that I have seen no factual evidence that they exist or are proposed to exist. The notion of them was spawned by Sarah Palin for fear mongering political gain.

    If you or anyone else can show me they exist or are contemplated to exist as you say they are, please go ahead.

    I instead will spend my time attacking Obamacare on the facts, you know, like the budget-busting, deficit-soaring, CBO estimate-climbing facts.

  • taylerdog23

    but the issue for me is about whether or not it’s honest. I dig facts.

    Politics isn’t about honesty; I get that. But if we’re about winning at all costs (and I’m not saying that’s what you are proposing, Bill S), we should at least be honest enough with ourselves to accept that and not pretend that the Dems are the only ones who play dirty and are intentionally dishonest.

    I appreciate your overall point, though.

  • Flagstaff

    ‘?Death panels? is a pandering fear slogan created by Sarah Palin to distort the health care reform debate.’

    Not exactly. It did become ‘distorted,’ but it was primarily because the media reporting on the discussion never tried to identify the intent of Palin’s comments, but they did cover up for OCare by pretending they were about end-of-life planning, as if it were the same thing.

    There is little objection to true EOL planning. It is good to have a will, an estate plan, and medical instructions prepared.

    “Death panels” are the inevitable result of the government having control of insurance payouts and medical care costs. “Death panel” is shorthand for the panel who will decide whether the patient will receive life extending treatment or not.

    Folks complain today that they have trouble getting their health insurance company to approve certain treatments. Those insurance companies may indeed be trying to hold down costs, but they also have incentives to satisfy their insured by GRANTING those requests. Happy customers tell their friends they’ve been well treated, and those friends are potential customers. Imagine how much harder it would be to get those treatments approved without that positive incentive. Under government provided, taxpayer paid health insurance, the only incentive the HHS employed treatment approval board (“death panel”) will have is the one aimed at holding down costs. Try getting THAT panel to approve a borderline treatment. It will be like arguing with the IRS.

    It is a fact of life that when it comes to making insurance claim payments the payer HAS TO have some means of deciding if a payment for questionable treatment is covered by the plan or not. With both commercial- and government-based insurance, that means is a review board. At least with a commercial panel, there is some profit-motive-based incentive to side with the insured and make the payment. And I don’t believe that commercial insurers refuse to pay for a covered treatment simply because the patient is “too old.” Clearly, that is the position the government panels will take.

    And all that is in addition to the fact that LESS treatment will be AVAILABLE under OCare, as it restricts the amount of money available for medical care.

    Erick’s comments are right on the money.

  • juumanistra

    ?Death panels? is a pandering fear slogan created by Sarah Palin to distort the health care reform debate. I agree that the commenter below should not have introduced a New Yorker article into the issue, but regardless of where the information comes from, the fact is that this is about responsible end of life planning, not some bureaucratic panel that decides to pull the plug on Grandma, IMHO.

    No. The “death panel” language traces its roots back to the British National Institute for Clinical Excellence, which is the organ which the Independent Payment Advisory Board was consciously modeled after. NICE — rather Orwellian, isn’t it? — is the premiere cost-controller for the National Health Service, as its comparative effectiveness studies provide cover to NHS to engage in the rather unpopular task of rationing health-care. Said rationing tends to fall hardest upon those at the end of their lives, for whom governmental outlays provide little to no tangible return. At least in ways government measures for, at any rate.

    Now then, given that IPAB was intended to draw on NICE’s model, anticipating death panels is not at all untoward. It is a bit premature, as at this juncture the major structural difference between the American and British systems is that NHS was a single-payer system while Medicare is a public program that only covers a subset of the general population: That said, given the history of spillover from Medicare into other sectors of the health-care industry, it’s not surprising to think that IPAB’s cost controls would invariably bleed over into the private insurance market sooner or later. So talking up the threat is also not beyond the pale, though it really should be bracketed more often than it is with the abovementioned notes.

    While I tend to agree that we on the Right have been a bit schizophrenic about the issue, the notion that talk of “death panels” being baseless fearmongering is patently false. (As a final aside: Is it just me, or is the acronym NICE beyond self-parody in terms of its Orwellian nature?)

  • taylerdog23

    and I was not trying to say that everyone discussing “death panels” were old fogies. I appreciate your perspective as someone in the same life station as me.

    I have done research on conservative ideas to cut costs because we must be well-informed on this debate. Avik Roy is really good on this issue.

    I will note, however, since you brought it up, that I have considered how rationed care has affected the UK. In fact, most of my work colleagues are in the UK, Canada and France. From my experience, they all are very much satisfied with their healthcare systems, even with rationing, because they all have access to it. I would also note that they all have a higher life expectancy than we do, so I do not buy the parade of horribles argument about rationed care in these countries. I have not seen facts that back these claims up, other than some anecdotal evidence or a severe case here or there reported in the Telegraph. If you have facts, please share.

    However, I DO NOT want any of these countries’ healthcare systems adopted here. Do not think that is what I am saying. I just need more facts.

  • Flagstaff

    **I?m biased here because I?m young, pay a ton in taxes, and know that I will never get back even a small percentage of the government benefits I?m forced to ?invest? in. But I?m sick of hearing self-professed older conservatives complain about Government spending while trying to shut down all debate on healthcare reform efficiencies.**

    FYI, I’m old and retired, and I still pay a ton in taxes. I really haven’t seen anybody on the right trying to “shut down all debate on healthcare reform efficiencies.” Seems to me that’s a tactic used by the left on almost everything they don’t like.

    True healthcare reform efficiency can’t be obtained through government controlled health insurance or health care. It can only be achieved by millions of individuals making their own independent decisions about the purchase of health insurance and when to use it.

    Ryan’s plan to put Medicare back into the private sector seems to me to be a great way to do this. By making it a defined-benefit tax-funded program, its costs can be projected with far more accuracy than it is today.

    And don’t forget, if Medicare goes broke, which it is now in the process of doing, there will be NO insurance coverage for those who think they’re covered by it. The inevitable government recourse then will be to add its cost to deficit.

    **When you refer to them as ?death panels? to invoke fear, you appear as little more than hypocritical cowards to me.**

    Since these panels will be deciding whether to grant approval for life-extending treatment or to refuse and allow the patient to die, what should they be called, “pixie-dust panels”?

  • actuarius

    “In a time of increasing health care costs we need to insure that the dollars we spend are being spent wisely. The ultimate decision is between a patient and doctor but doctors need to know which treatments have been proven to be effective and which are not.”

    A. We don’t need to spend health care dollars wisely any more than we need to spend iPhone dollars wisely. Get regulatory panels out of the way. The doctor will give advice to the patient, and the patient will decide how to spend the money. He will make the trade-offs between money and medical services. If there is a service that is more effective and less costly, he’ll find it. If not, he will decide whether to pass on money to his heirs or use it to keep himself alive as long as possible. He will do his own rationing. How? Make the patient have skin in the game. Make the insurance plans high deductible with HSAs, money the patient can keep or pass on if he doesn’t spend it.

    B. The doctors don’t need governmental panels to tell them about effective evidence-based medicine. The profession is filled with peer-reviewed quality research.

  • cathrin

    By the time we get thru paying for all the health care pmts, & the co-pays & the deductables, then the extra taxes, price to run your vehicle, ( because I myself just can’t go out and buy a Hybrid to tow the Horse trailer), some of us will be down to one maybe less meals a day, (animals need food too, not going to do like some & just turn them loose). Won’t be able to afford smaller belt to keep pants ups so I’ll use baling string, But at least we know where we stand! I at least have one horse power even tho our admin doesn’t get it. They need to all go out & get real jobs, or try like a lot of other people in the nation. I wonder what they would qualify for?

  • taylerdog23

    :)

    1. I am not arguing for government-controlled healthcare. If you think I am advocating that, then you have conveniently set up a stawman so you can knock it down.

    2. You say, “Since these panels will be deciding whether to grant approval for life-extending treatment or to refuse and allow the patient to die…” but where did you get the idea that the independent commissions Erick was railing about above are going to make patient-specific decisions? You mention “the patient,” which indicates that you think that these commissions are making decisions based on individual patients, but where is your evidence for this? Do you have any? As I’ve mentioned in this thread already (ad nauseum), I’m interested in facts, not invective and distortion. We conservatives can win the healthcare debate, but not by relying on lies.

  • powertothepeople

    as to what you are talking about and it surprises me deeply that you are willing to kill your internet pride by persisting in your nonsense argument. I am not going to make this long and instead will simply make shorty rebuttal points.

    Expectancy of life, you are such a clever little boy. How much of a difference do you think there is between us and them? Let me help you out. As of 2009

    Canada 2.4 years
    France 2.4 years
    Italy 2.2
    Germany 1.1
    England 1.1

    Oh god they live sooooo much longer and that does not show the difference in culture, crime deaths, etc. The whole we live longer nonsense is as old as the stars and no one to date has ever shown the factors used to determine life expectancy of a country. But I will:

    Myth: Americans don?t live as long as their counterparts in Canada and Europe

    Fact: While the overall life expectancy of Americans is lower than that of people other nations, it the result of higher rates of homicides, accidents, and obesity, factors that are at best tangentially related to the health care system.

    The homicide rate in the U.S. was 5.9 per 100,000 people in 2004, according to the U.S. Department of Justice. In contrast, it was 1.99 per 100,000 in Canada, 1.66 in France, .98 in Germany, and 1.63 in England and Wales (approximately 1.71 including Scotland.) 1

    In the U.S., in 2006 there were 14.24 fatalities per 100,000 people from auto accidents.2 Canada had 9.25 fatalities2, France 7.43, Germany 6.194, and 5.39 in Great Britain (U.K. excluding North Ireland)5. In general, injuries of all kinds accounted for 47 deaths per 100,000 in the U.S. in 2002 but 26 in the U.K., 29 in Germany and 34 in Canada. Only France, at 48 per 100,000 was equivalent.6

    While Americans are not the most likely to be overweight, they are more likely to be obese than people in other nations. While critics of the U.S. system often try to drag the issues of obesity into the realm of health care failures, it is the result of complex factors related to culture and economics as much as to health.

    The U.S. has a very heterogeneous population with many ethnicities and nationalities represented. With this diversity comes not only genetic differences but also cultural and lifestyle ones that can affect health and life expectancy. African-Americans in particular have low life expectancies, well below those of other ethnic groups. Life expectancy can often be correlated to country of origin, with those from nations with high expectancies showing equivalent, or even greater, life expectancies.

    While 2008 data shows that life expectancy at birth is higher in the Netherlands than in the U.S., for both men and women (76.66 vs. 75.29 and 81.6 vs. 81.13) this advantage reverses when you look at those who have reached 65.7 In 2007, the rate of traffic fatalities was 4.84 per 100,0008 and the homicide rate in Holland is 1.27 per 100,000 population, less than a quarter the rate for the U.S.9 Injuries also claim fewer lives in the Netherlands than in other countries, only 23 per 100,000 people in the 2002.10

    The life expectancy at birth in Switzerland is 80.74 (77.91 for men, 83.71 for women) and those who make it to 65 can expect to live to 81.9 for men and 86 for women.11 But Switzerland has a number of advantages that influence these statistics. It is a small country with a quite homogenous population, low infant mortality due to its restrictions in counting premature babies, and relatively low rates of automobile accidents and homicides. In 2007, Switzerland had a vehicle accident fatality rate of 5.06 per 100,00012 and the homicide rate in Switzerland was 2.95 per 100,000 people in 2004.13 As for injuries, in 2002, 32 per 100,000 deaths were from this cause, versus 47 per 100,000 in the U.S.14

    MYTH

    Understanding how the so called life expectancy table is reached is key to using it in an argument. You used it to prove the myth that they live longer due to their health care type and you failed miserably.

    Second, I could give a rats ass who you talked to, real or otherwise, as the facts do not back up your assertion that the people who live in socialized states like what they have. As a general rule, their welfare class do like it just as our welfare class like their handouts. Why? Because they are leeches on society and love getting stuff for nothing. But the reality is most who can afford their own care, seek it. The biggest black market item in Canada is not drugs, guns, prescription meds, etc it is black market care, health care. When my wife and I lived in MI, the doctors office she worked for saw more Canadians than Americans. Why you ask, because they wanted real care, quality care, now not when they won the lottery or when they year out appointment came around. We get patients constantly in this country for health care because ours is better and they can get the care now, People fly in constantly from Europe to get our care even though they get it “free” in their own home state. People have died in those countries waiting for care including a woman in Canada who died months before she was able to be seen for a suspected lump in her breast. She was denied life saving care and exams (by death panels) and by the time her appeal was heard and won, she was dead from breast cancer. This is not an anomaly, this is a constant occurrence in every country ran by socialized medicine.

    Lastly, your constant statement death panels do not exist. Sarah was not the first to expose them, many have done so before. Just weeks ago the famous case of the young boy in Canada who was refused further care by a panel, death panel to be more exact, and was ordered to be removed from his tubes so that he could starve and slowly suffocate to death. Finally through the help of a charity, permission was granted to allow him to be taken to the states in order to receive care. The panel had even gone to court to fight this offer demanding the killing occur in the presence of their agent in the hospital he was currently in. So stop with the nonsense. These panels are already in this country and they determine the life value of a person seeking care under medicaid/medicare. They do not counsel the patient in end of life decisions, they make them for the patient. And since Obama has loudly proclaimed that he copied his plan from the Canadian plan, why should we expect to not have the same panels they do?

    Fact is, you do not know what you are talking about. You are trolling this site starting nonsense and straight out misrepresenting the reality of what is going on. Either educate yourself or move on. I doubt Neil is going to have much more patience for your nonsense than he did for the other jokers in this thread. But regardless of that fact, stop with the BS. The only person fooled on this post is you and I do not even think that is the case. I just think you are here to troll and you are a failure at even that.

  • actuarius

    and the goal of the Democrat party is to morph ObamaCare into that.

    That’s a pretty good reason to be leery. Also, you have the likes of Ezekiel Emmanuel touting the use of quality adjusted life years saved to make decisions by the government. Then there is Donald Berwick, the recess appointment to the head of CMS, who believes that NICE (UK death panel) is the closest thing to Nirvana around. All in all, it is prudent to worry that these panels will take the decision-making out of our hands.

  • Common_Cents

    This is really what drives the left. A few “educated” elites that know what’s best for the rest of the unwashed masses. Power, control in all phases of life, and now, death.

  • Tbone
  • cathrin

    Don’t tell this to AARP

  • Tbone

    http://www.telegraph.co.uk/health/healthnews/8446782/Patients-are-denied-high-cost-drugs-by-NHS-trusts.html

  • reddotor

    runner,

    I don’t understand your position. Are you saying that we should provide unlimited healthcare to everyone? Like others here, I don’t believe that’s possible. Torte reform is great, but it doesn’t solve this problem. Someone is still going to have to decide who gets treatment and who doesn’t.

    I’d assume on this site we would be arguing that the healthcare one gets is proportional to what they can pay for?

  • taylerdog23

    Thanks for the reponse. No seriously, thanks. I asked for some facts and you provided some context on the issue. It’s helpful. Honestly.

    Of course I don’t appreciate being labelled a troll trying to start nonsense, etc., but hey, not much I can do about that other than explain that I’m not a troll. Just looking for info and expressing my opinion is all.

    1. I have been very clear that I do not profess to have the answers on this issue, so that line of attack doesn’t fly.

    2. I was using the life expectancy issue to illustrate why I don’t buy into the myth that these other countries’ health care is awful and horrible. I was not using it to prove any other point. Just an observation. Again, I appreciate your info that puts the life expectancy numbers in context.

    3. My own experience in knowing people who live with rationed, socialized medicine is indeed irrelevant to the overall discussion. I get that. I wasn’t trying to use that as empirical data to prove any point, though. You used an example of your wife’s experience at a doctor’s office in MI to show why you think Canadian healthcare is inferior. Sharing that experience is very helpful to our conversation, I think, because as good as a given healthcare system looks on paper, what matters is the experience of the patients. Canada may laud its healthcare system as fantastic, but if so many of their patients are coming to the U.S. for care, then that exposes a serious flaw somewhere.

    4. Death panels – again more useful information with your Canadian example, but you still haven’t shown me where they exist in the U.S., besides stating that:

    “These panels are already in this country and they determine the life value of a person seeking care under medicaid/medicare. They do not counsel the patient in end of life decisions, they make them for the patient. ”

    Where are these mysterious death panels that are already in this country? Seriously, where?

    5. My “internet pride”? I will happily admit that I have no such thing. I’m simply a dude who enjoys reading and researching a lot online and trying to learn about the world around me. Spending time online seeking to establish “internet pride” seems to me to be a fool’s errand.

    And maybe Neil is tiring of me, but you and I both know that spirited debate is par for the course at RS. That’s one of the many things I appreciate about this place. I hope I’m staying within the lines of being respectful as we all expect of each other here, but I’m sure Neil will let me know if I’m not. :)

  • reddotor

    I don’t see having the patient decide as being feasible. Demand would far outstrip supply and that’s never pretty for the consumer.

  • taylerdog23

    Good article.

  • reddotor

    I’m very sorry to hear about your illness methodius but your case really lays the problem bare. You’ve spent 2.5 million so far with many more bills in the future. Should the taxpayer pay your bill? If so, who looks out for the taxpayer in deciding what gets paid for? Or is it just a free for all, which I believe is ultimately untenable?

  • reddotor

    taylerdog

  • reddotor

    Flagstaff, you rightly mention that insurance companies have an incentive to pay out because it’s bad for business if it gets around that they’re not paying for critical treatments. However, this incentive is balanced by the goal of making a profit. I believe that “Death Panels” are not death panels at all. They’re just spending taxpayer money so what will the incentive be to NOT approve procedures. On the contrary, these panels will end up being “rubber stamp” panels that put us further towards the brink of financial disaster. “Death Panel” couldn’t be further from the reality, in my speculation.

  • reddotor

    I don’t understand the “keep the decision between doctors and patients” argument. If the taxpayer is paying the bill then I want a spot at the table when decisions are made. If someone wants their healthcare decision to be solely between them and their doctor then they should pay for it themselves. Isn’t that the conservative viewpoint or am I on the wrong site?

  • pompey

    ……..many Americans find Obama?s utterances shocking. The reason is that the American people have never experienced a socialist president before. The real question is will they become accustomed to it…….

  • reddotor

    This is a great example of how we’ve lost our way. Instead of arguing that government shouldn’t be involved in healthcare AT ALL, we’re arguing that government should pay the bill but not have a say in the decision making process. That’s a very skewed view of “small government” if you ask me. We kid ourselves that we’re against government interference at the same time we’re pigs at the trough.

    Shouldn’t the conservative position be against Obamacare because healthcare should be privately funded, not because we want government to pay and not have a say in the service (which is patently absurd, in my opinion)?

    Is it conservative to be for or against Medicare/medicaid?

  • pompey

    ……..denying medical care is the only hope of making socialized medicine even half way work, and “death panels” are how you deny that care. All socialist countries have to do it, it really not that complicated???.it?s the change that you voted for!

  • runner12

    belief that all doctors are knife happy and want everyone to undergo expensive procedures.

    Yes, we should keep down costs. But the decisions regarding health care should be between a doctor and his/her patient, not the government.

    As to the assertion that people should pay for services, I agree that they should and people who have private insurance do. But Medicare needs to be phased out over time, not rationed in an inhumane way. That is the solution to fixing the Medicare problem.

  • powertothepeople

    you are seen as a troll. You did not come in to debate the merits of Erick’s post, your original post was this:

    “555. Erick and the rest of the “Death Panelers” are being hypocritical… ”

    So you come in , call the head honcho a hypocrite, and give “5′s” to a guy who says this:

    “You are right, Medicare should just pay for any and every treatment that anybody wants at any age and in any health condition right? Knee replacements for terminally ill patients? No problem. Medicare is a never ending slush fund correct?”

    His statement and subsequent post had nothing to do with what Erick wrote or what people were discussing. That is trollish behavior on his part and on yours. It is also not that wise to start you post with an attack on a person much less the head guy of the site.

    Then in your posts, you state:

    “Since when is endless medical treatment and costs associated with it, borne by taxpayers, a conservative idea?”

    No one said anywhere that they support endless medical treatment, so his and your argument are nothing more than straw man and trollish in nature.

    “What?s most interesting here is what I expect to be a generational issue?I would bet money that those of you hyping this ?Death Panel? hysteria are almost certainly Boomers or Greatest Generation folks.”

    HUH? So you have to be an old person in order to support one side on this issue and worry about death panels? Nonsense.

    “And while you sit around and complain about creeping Socialism and out of control government spending, you violently recoil at the possibility that you may not be able to get absolutely every medical procedure you want on the taxpayer?s dime.”

    Another line of crap and trollish in nature. The only intent of this type of statement would be to rile people and start trouble. It is not a statement backed in evidence. so it is a trouble making type comment.

    “Instead of engaging in a rational debate about how to fix a broken health care system and achieve efficiency, you instead go the intellectually lazy ?death panel? route and use fear to silence the discussion.”

    And yet to date you have not offered one piece of evidence to back up your assertions or show us that we are wrong. You simply attack using straw man arguments hence why you were called a troll,.

    “And yes, I?m biased here because I?m young, pay a ton in taxes, and know that I will never get back even a small percentage of the government benefits I?m forced to ?invest? in. But I?m sick of hearing self-professed older conservatives complain about Government spending while trying to shut down all debate on healthcare reform efficiencies.”

    Oh boy, do I really need to address this one?

    “When you refer to them as ?death panels? to invoke fear, you appear as little more than hypocritical cowards to me.”

    Again, absolute nonsense and is nothing more than an attempt to cause strife.

    So now that your above “arguments” are blown away, you come off with a half ass walk back, yet in point number 4, you desperately cling to the last bastion of your argument that I did not directly address above. In point 5, you claim to be a person who loves research, yet you fail to again give a single bit of evidence that what I and so many others say is wrong. You simply again claim to not believe it so we must be hysterically wrong.

    A quick search, since I have no personal experience with the issue here in the states, brought me this info:

    1993, Clinton orders cuts in medicaid/medicare, specifically targeting Oregon. Patients were then given care based on age, disease, or in other words, worth of life. If a patient was over a certain age, terms used to state they pay or do not pay taxes, even life saving or life extending treatments such as chemo were denied if it could not be proven that the treatments would extend the life no less than 5 years.Patients that would have their life extended one, two, three, or even four years were denied this care while other more worthy patients were granted the treatment regardless of extension of life. Gets a little better………..

    Worse, even though it is not a formally ranked procedure, assisted suicide is covered under state law. Thus, when recurrent cancer patients were rationed out of receiving potentially life-extending chemotherapy in 2008, an administrator wrote a letter assuring them that the state would pay for the costs associated with their assisted suicides. Screw you, will not pay for life sustaining measures due to your worth, but we will pay the grand to kill you.

    Would you consider that death panels and here in the US? If not, we really have nothing more to talk about as we live in two different realities.

    But moving on to another potential case of death panels in WI. Wisconsin Medical Society recently argued that the state?s Medical Assistance program should be ?allocated? and ?prioritized? by creating a ?ranked order? of coverage. ?The goal is health,? the association stated, ?rather than health services or health insurance,? a potentially alarming prospect for those with serious?and expensive to treat?illnesses and disabilities. The Wisconsin Medical Society went on to state that patients should be ranked by age, life expectancy regardless of disease (meaning a 80 years old who has no disease at the moment would be ranked low simply because they assume he will die soon anyways), and that those ranked below a predetermined rank would be denied all care other than that which will allow them to die comfortably (thank God for small favors). While the WMS does not directly make decisions on how medicaid funds are dispersed, they do have a hand in policy as to what is covered and how policy is set. They are routinely contracted by the state for these purposes. Not too mention they are the largest medical association of doctors in the state and have extreme pull in the state congress. Many times bills that pass the congress were designed and lobbied for by the WMS.

    Do you need more? I could give a case in Arizona where a panel of doctors decided a 32 year old father of 4 was not worthy enough to receive a Kidney transplant, not for habit reasons or previous alcohol reasons, but because he was ranked low on the worthy scale due to his permanent disability and his inability to work.

    Need another from Texas, I got ‘em.

    Go do the research you claim to love before constantly calling us wrong. And when you call us wrong, list some proof, not just your opinion. And when you do that people will debate with you and drop the troll title. But when you have done nothing but tell us we are wrong, call us all hypocrites, give kudos to an idiot, and give no proof as to why we are “wrong,” troll will be the name that follows you around.

  • runner12

    Would you be so good to answer mine? Do you think the government should decide who gets healthcare and who doesn’t?

  • runner12

    Tbone and PTTP are answering your questions already.

    Carry on friends, you are doing great.

  • Common_Cents

    He says you can choose to keep your insurance. But what he doesn’t tell you is your insurance may not keep you. Obamacare will be too hostile for anyone to remain in the biz and people will have to default to the government only option.

    Watch out for this same scenario angling for your 401k as well in a market downturn. Govt will dangle some restoration of losses in exchange for your retirement money. pooof.

  • runner12

    I was not referring to you, but the person who got the blam stick.I may have gotten you two confused and for that I am sorry. I actually gave you the benefit of the doubt here and answered you in a respectful way.

  • runner12
  • runner12

    saying. Maybe I can help clarify things a bit.

    In a perfect world, Medicare would not exist. I would like nothing better than to get the government out of health care. What is being debated here though is rationing via Medicare a la Obama. Obama has no desire to shrink Medicare, but in fact increase it via ObamaCare. His way of increasing it and “saving costs” is to ration. This is what we oppose.

    We oppose it because instead of rationing to cut costs, we should be slowly phasing out Medicare so people once again can be responsible for their own health care. This is part of the Ryan plan.

    I hope that clarifies things a bit for you.

  • reddotor

    runner12 writes, “Your line of thinking is predicated on the false belief that all doctors are knife happy and want everyone to undergo expensive procedures.”

    My line of thinking is decidedly not predicated on that belief (please don’t make huge logical jumps that put words in my mouth). Instead it is predicated on the belief that if tax dollars are paying for something, taxpayers should have some say in how the dollars are spent. Simple as that. From what you’ve said, you want taxpayers to foot the bill but the decision on how the money is spent to be solely between the patient and the doctor. That doesn’t fit with the taxpayer having some say in how the money is spent.

    “But Medicare needs to be phased out over time, not rationed in an inhumane way.”

    Isn’t that liberal-speak? How do you phase out Medicare without rationing?

  • reddotor

    in healthcare. But if taxpayer dollars are going to be spent on healthcare, then the taxpayer should have a say in what it gets spent on. Isn’t that the conservative viewpoint?

    So yes, the government should have a say in government funded healthcare.

  • reddotor

    Thanks for clarifying runner12. If we’re working to phase out Medicare, then why worry about whether or not ObamaCare rations? Health care will be rationed one way or another. It sounds like we agree that it should be rationed by how much an individual can pay for it rather than a government panel. Arguing about “death panels” is like arguing the nuances of “cap-and-trade”. The whole thing is a bad idea so arguing whether to implement it one way or another just legitimizes it.

  • acat

    if the decision is case-specific or a “guideline”?

    It didn’t with HMOs, I don’t see where it will here either.

    The difference being people could (and did) vote with their feet – out of HMOs into PPOs or other plans… to the point where insurance companies were unable to save enough to cover the cost of the gatekeepers….

    Under Obamacare, though .. what’s the alternative? My prediction is an unofficial two-tier medical system, Obamacare providing for 80% and under-the-table transactions providing for the 20% that have the money to hire private physicians.

    Mew

  • taylerdog23

    I appreciate the clarification. And please don’t be sorry because the fault is mine, as I’ll assume that as a n00b, I just responded to the wrong person and/or in the wrong way.

    My bad. Hope you have a great evening. God bless.

  • taylerdog23

    Sorry, but unfortunately, due to work constraints tonight, I don’t have time to fully digest and respond to your reply.

    Just wanted to note for the record that although I’m not particularly happy about your “troll” characterization of me, I really do appreciate your detailed response. This is (one reason) why I dig RS.

    And I’m not here to tell you anyone is “wrong.” Believe me, I’m not interested in playing like that (too many smart folks on RS for that kind of shenanigans…).

    If I don’t explain myself fully, that’s nobody’s fault but mine, and that’s definitely something to work on, so I appreciate you picking my position apart. What doesn’t kill you only makes you stronger, right?

    Thx again and hope you have a good evening/night.

  • taylerdog23

    which is why I’d rather focus on the demonstrably bad things about ObamaCare rather than focusing on what I consider are fictional “death panels.”

  • controse

    “pro-choice” and replace it with what it is “pro-death.” Death for new life that is heading our way. The opposite of pro-life is pro-notlife.

  • controse

    Anybody out there familiar with the phrase “let nature take its course”? The more money you get to keep the more money you have to spend as you see fit. If you can’t pay to stay alive another month you don’t. If you do you can. Nature takes its course. It is called freedom. Any takers?

  • runner12

    because in a sense ObamaCare will become Medicare/Medicaid x100. That is why it is so important that it is either declared unconstitutional or defunded.

    OCare will make Medicare and Medicaid seem like small potatoes and will bankrupt the country.

  • acat

    Does it matter whether there are government bodies setting guidelines, or a star chamber deciding each individual case?

    Isn’t it, in either case, the government deciding when to ration care?

    Doesn’t that lead directly to choices of life and death? Isn’t this, with no recourse, death by a panel?

    Mew

  • severed2009

    In the absence of government intervention, the market itself is the death panel. If you cant afford the care needed to keep you alive, and the insurance you bought does not cover it, you die. You get to choose the care you want, unless you cant afford it.

    Of course, you can always go hustle somebody for some charity care. Look deserving or pitiful, make your story a tear jerker, something that will edify us. There will be someone looking for stories like that to create and tell, so we can have the appearance that everything is OK if you just try. Find that person and persuade him that yours is the story he should tell. That is the simple way to get health care you cant afford.

    Do people in bad health get more vouchers or insurance coverage than others? Do they get more if the bad health is their fault? Do they get more than people in good health only if the bad health is not their fault. Nobody has discussed how this voucher thing will actually work. Germany, I think, has sort of a voucher system, but people with health problems get bigger vouchers based on lots of factors set up by actuaries.

    Other countries try to distribute health care on the socialist principle. If we distribute it on the principle of the ability to pay and the ability to make wise decisions about insurance and such, people will die here who would have survived had they lived in (or moved to) say Canada.

  • http://westforwestwing2012.com heartlander

    I appreciate your civility and your logic on this thread!

    And yes, NICE is beyond self-parody. It’s ironic enough to make you think someone did it deliberately — kind of like “Winning The Future” and “Kinetic Military Action.”

    One other thing. Have you read C.S. Lewis’ novel That Hideous Strength? The villainous bureaucracy in that book was also acronymmed NICE. It seems like C.S. Lewis would be far too well-known in England for the founders of the real-world NICE to not have done it deliberately and ironically. Rather disturbingly, though, that would mean that they knew NICE would be used for evil — and felt perfectly comfortable in being upfront about it.

    Kind of like Saul Alinsky openly dedicating his Rules for Radicals to Satan.

  • rightwingmom52

    I’m old, pay a ton in taxes, and know that I will never get back even a small percentage of the government benefits I’m forced to “invest” in. Many of us here are on record for reform of Medicare and Social Security and have been fighting that fight since you were wet behind the ears. My parents are both in their 80′s and realize the need for reform. You’re entitled to your opinion about the healthcare debate, and I couldn’t care less what you think about me and my opinion, but that Greatest Generation you slammed has more than proven how much they care about this country and her citizens.

  • Flagstaff

    **They?re just spending taxpayer money so what will the incentive be to NOT approve procedures.**

    The incentive will be that their job description will include orders to reduce costs. That will mean “reject any claim that you can.” These will be nameless bureaucrats who will be praised by their bosses for saving money, not for saving lives.

  • Flagstaff

    1. I didn’t think you were an advocate of OCare. I did think you were making a counter-factual statement, which I intended to rebut.

    2. Whatever Obama statement you may be referencing, the fact is that panels such as I described are a practical necessity for ANY insurance provider. A claim is processed by a panel of one (an adjuster), who approves it or rejects it. Most of the rejected claims should be rejected and perhaps they might not be appealed. But many will be.

    The panels come up in the appeals process. Those are the people who can approve a treatment that is technically NOT within the bounds of the policy. It may happen when a treatment that WOULD be approved is not available and the “unapproved” treatment is the best alternative. They can also approve some experimental treatments. With a government panel, the answer would always be, “No. Your treatment does not fall within the parameters of your policy. We cannot approve it. If we did so we would be breaking the law.” That is not a constraint that private insurers have to deal with.

    You may not think this is a serious problem with OCare and therefore is simply fear-mongering. IMHO, it is a serious defect of ANY dealings we are forced to have with our government. They are armed (figuratively). We are not. The best we can do with the government is ask them “pretty please” to grant us a dispensation. Even if they allow an individual to sue them, they have all the money and time they want to fight an opponent with limited resources. If Erin Brockovich had been forced to fight the US Government to win her famous case, her name would be unknown today.

    Those are the facts

  • Flagstaff

    one big problem with taxpayer funded health insurance. It puts another party at the table, a party whose only desire is to hold down costs.

    Incidentally, part of OCare at one time included provisions that one could not “pay for it themselves,” or at least it would be more difficult than getting out one’s credit card.

    And of course, an indirect result of OCare will be a reduction in the availability of health care of all kinds.

    Finally, NOBODY is looking out for the taxpayers. If they were, we wouldn’t have Medicare to deal with at all.

    A 2,700 page law is bad news for everybody. Congressmen who voted for it should be removed from office. They voted to approve something they had no clue about.

  • methodius

    I do not like the fact that my private isurance is allowed to dump me onto the public dole. I fought it and stayed out for as long as I could. I am not asking the taxpayer to do anything. I have been forced by the structure into the system. And I will get off as soon as I am able. I am not to blame for the system that has been set up, nor for the waste and fraud that occurs in it. I am also not to blame for the fact that programs that were suppose to be a saftey net have been turned into general usage, non-means tested entitelments.

    Secondly,the issue with my situation is not like the terminal cancer patient who wants a $5,000/dose chemo drug that is only going to add a couple of months to their life. While I am still not as “productive” as another man my age who is healthy I still contribute to society and my familly. Am I suppose to just role over and die brcause I am a finacial inconvenience in some one’s opinion? If it becomes necessary for me to have another liver transplant it would/could add another (semi)productive 10-15 years to my life.

    Third, nowhere did I advoxate a “free-for-all”.I just do not believe that a group of bureaucrats have the right to tell me I should die because they have determined I have, by their very subjective criteria, use up allotted “my share” of something. That system will simply degrade into a pattern of the well conected getting whatever they want and the average Joe citizen getting the scraps handed out by the elitists in charge. I have the right to life, liberty, and the pursiut of happiness just like everyone else. My health does not diminish that in the slightest.

    Fourth, we have so cheapened the priceless gift of human life on the last 40 years. The idea of fallible, selfish human beings determining who is valuable and who it a useless burden appalls me. We callously slaughter over 45 million preborn children, cast off the elderly like old, worn-out sweaters, and determine a person’s worth based solely on which side of a balance sheet they might fall. it is disgusting, immoral, and shows just how far we have dallen in this country.

  • nightwish2012

    There was a great deal of French spam here, with a little English oddly thrown in. I left this because the reply comment is so good. -Ed.

  • avgjo

    C’est stupide a ecrire ton spam ici en Francais. Probablement la majorite de gens ici ne peuvent ou ne veulent pas lire langue francaise, especialement SPAM en francais, dans une site politique. I know I don’t.

  • Thomas Crown
  • BigRedConservative

    the French word “merde” springs to mind.

  • taylerdog23

    the government deciding when to ration care.

    But if this is government-funded health care, doesn’t the government have a role to play in this?

    To quote reddotor elsewhere in this thread:

    “…government should have a say in government funded healthcare.”

    The fact is that we have this healthcare system and government-funded healthcare (Medicare & Medicaid) ain’t going away anytime soon. So we can sit around and talk in circles about how we don’t like it, or we can try to apply common-sense conservative principles to the problem.

    So I ask as reddotor noted elsewhere, do you think taxpayers should have a seat at the table at all in healthcare decisions at all, or is it simply between the doctor and patient. If we’re paying for it, don’t we as taxpayers deserve a say in the discussion about efficiencies?

  • taylerdog23

    that I was slamming the Greatest Generation. I did not intend to do that. I do appreciate those that are the greater stakeholders in this this issue like you and your parents that recognize and advocate for reform.

    Of course it’s not fair to generalize and entire generation, but you can hopefully understand how many in my generation are at least a bit suspicious of the generations above us that got us into this fiscal mess to begin with and will likely leave for us to work out. We have no control over this–we didn’t vote elected officials into power over the last 30 years nor did we have any other role in creating this, but we’ll likely be the ones picking up the pieces when the Boomers are gone.

    I mean no disrespect, just wanted to share a perspective of where we’re coming from.

  • methodius
  • acat

    this taxpayer votes to pay nothing, not one cent, red or otherwise. Of course, you’ve already said that’s not a short-term goal. In the short term, then, I would be happy to see means testing and allowing private insurance to fill a larger role than just “supplementals” for medicare.

    Medicaid is a different animal, and should rightly be up to the States to administer as efficiently or inefficiently as they see fit.

    Mew

  • taylerdog23

    First of all, I was not trying to attack Erick, but I can see how it would come off as that. My bad. And I would also agree that my initial comment was much more aggressively-worded than it needed to be.

    There’s a good bit to respond to, but here’s where I am:

    1. I tried to be very clear that much of what I was saying was my own opinion based on some experience and I was not trying to lay out “facts.” Just trying to have a discussion. In my opinion, anyone on the Internet can find SOMETHING to back up what they are saying, and I just wasn’t trying to do that.

    2. Death panels — these are good examples you laid out and in fact I have seen most of those. Where we disagreed is that I didn’t see them as “death panels” before, but I can completely see where you’re coming from in labeling them as such.

    So here’s where we are: I would agree that there are panels of doctors or sometimes even bureaucrats that make life changing decisions for people involving health care. I’ll even call them death panels for the sake of this discussion.

    The question I have for you is, as reddotor noted elsewhere (and I have already borrowed from): does any one else besides the patient and doctor have a role to play in making these decisions? Do we need some form of “death panels”? I have no doubt that you pay plenty in taxes to subsidize government-provided healthcare. Don’t you deserve a seat at the table when these decisions are made? You (and the rest of us) are paying after all for that kidney transplant for a welfare mother. Who is looking out for our interests as the funders of these procedures?

    Again, credit to reddotor for originally raising this point.

  • taylerdog23

    because everyone else here seems to think I’m a jerk. LOL.

    Oh well, some days you’re the bug and some days you’re the windshield…

    Have a great weekend.

  • taylerdog23

    and really good points.

    One clarification request though: do you mean means testing for actual procedures and coverage?

  • sp4prez

    by bashing Palin in your idiotic tirade. Thanks for letting us know your just a leftist troll. Hopefully the moderators will just put you out of your misery.

  • powertothepeople
  • acat

    Because I find that somewhat hard to believe.

    No, not testing for procedures. Testing for coverage. That is, “Medicare will not change for people with assets up to $X, will drop to 90% of current coverage for people with assets up to $Y…” up to a point where the government isn’t paying anything for people with assets large enough that they should really be paying for their procedures themselves.

    Mew

  • http://theminorityreportblog.com Repair_Man_Jack

    It’s the fastest way I know of to turn upper middle class liberals into William F. Buckley Conservatives!

  • Dave_in_Fla

    I haven’t followed this thread, but I’m not following this logic.

    Wouldn’t upper middle class liberals now be paying for part (or all) of their benefits? Why wouldn’t they become more liberal and demand they get it all for free? Or are you saying that if they now have to pay for something, they are going to care how it is run?

    I’d like to better understand your thinking on this.

  • http://theminorityreportblog.com Repair_Man_Jack

    Wouldn?t upper middle class liberals now be paying for part (or all) of their benefits?

    Yep. Income redistribution is less fun when you’re the fun who shares the wealth.

    Or are you saying that if they now have to pay for something, they are going to care how it is run?

    I’m arguing that they will want it to run a whole heck of a lot less. Particularly for people other than them.

  • reddotor

    I truly wish we could afford to pay for healthcare for everyone but we all know that we can’t – tough decisions will need to be made (and are every day – right now).

    ” just do not believe that a group of bureaucrats have the right to tell me I should die because they have determined I have, by their very subjective criteria, use up allotted ?my share? of something.”

    Unfortunately the minute that the taxpayers started footing the bill for your healthcare, those bureaucrats did gain the right to get involved in deciding how you use taxpayer money. If you want to ensure otherwise, then you would have to pay for it yourself.

    I do wish you the best and hope that your health improves.

  • taylerdog23

    I was just looking for clarification on what exactly you were means testing.

    I like the idea of it, but doesn’t it ultimately mean that I am being punished for being financially successful while also subsidizing care for those who have been less productive?

  • reddotor

    we wouldn’t have this problem.

    “one big problem with taxpayer funded health insurance. It puts another party at the table, a party whose only desire is to hold down costs.”

    And that’s the way it should be. If one isn’t willing or able to pay for their own healthcare, then they should be subject to the limitations imposed by taxpayers who are footing the bill. The alternative is to pay for your own healthcare, which ideally would be part of a market that wasn’t severely distorted by the presence of government funding. One can only “hope”…

  • acat

    Or .. are you really thinking today’s 20something and 30something workers expect to get jack {squat} out of SS or Medicare when they reach 60something?

    Mew

  • sp4prez

    You wouldn’t even be talking about Death Panels if it weren’t for Palin but instead of being a man and defending her yourself I have to do your dirty work for you. Fine by me.

  • http://www.hakubi.us/ Neil Stevens

    I just might ban the next person who argues about Palin and continues the threadjack.

    Zip it.

  • aesthete
  • reddotor

    Imagine being a member of one of these panels. You are faced with deciding whether or not “life-saving” procedures that you have determined are completely dubious will be performed. On the one hand if you reject it, then you run the risk of horror stories showing up in the papers about how “essential” procedures aren’t being approved. On the other hand, if you do approve it then you have to worry about cost overruns. That’s a no-brainer – rubber stamping these things is going to be the rule of the day. Who’s going to be looked on more favorably, the “death panel” that “saved lives” but had cost overruns, or the panel that saved taxpayer money but didn’t give people the healthcare they “need”? Definitely not the latter.

  • reddotor

    ” could give a case in Arizona where a panel of doctors decided a 32 year old father of 4 was not worthy enough to receive a Kidney transplant, not for habit reasons or previous alcohol reasons, but because he was ranked low on the worthy scale due to his permanent disability and his inability to work.”

    If those individuals didn’t want to be subject to these rankings, they should pay for their own healthcare. If they’re on the taxpayer’s dime then they will ultimately be subject to these types of decisions. There is a way out – pay for it yourself.

  • reddotor

    But as long as there is some form of government funded healthcare, there *should* be “death panels”, or without the hyperbole, someone at the table representing those who are paying the bills.

  • aesthete

    or at least, so far I do (haven’t read through the whole thread yet :P )

  • taylerdog23

    This is the only option as I see it. If you take the government’s benefits, be prepared to deal with the burdens of that coverage. I suspect many of our fellow conservatives (not necessarily talking about RS members) do not want to engage on this point because it seems “unfair.”

  • aesthete

    Seriously, that was funny.

  • aesthete

    is that one of two things happens:

    1) There’s an “all-you-can eat” system wherein all “needs” (or rather, wants) are covered. This system is, of course, very costly — we can see it in the unsustainable costs in Medicare. This usually leads to #2…

    2) Regulate lifestyle choices and the availability of care in an attempt to reduce costs. This is, of course, antithetical to any definition of freedom: as any decision made by a person can impact his or her health, you can bet that “safe sex”, “healthy dieting”, and a whole gamut of “superior” lifestyles will be incentivized by government, and that ostensibly “unhealthy” lifestyles and activities will be disincentivized.

    It’s more complicated than that, of course, but that’s the gist of it.

  • taylerdog23

    at least without means testing I would be getting something out of the system that I paid in to. With pure means testing, I (in my personal situation) would get less out of the system than someone of lesser means. At least now, it seems like a fairly level playing field in terms of who can suck, oops, I mean ACCESS system benefits. Nonetheless, I hate the system and hope it goes away.

    As for my 20 and 30 something brethren, many of us do indeed expect to get jack squat out of the system we’re paying into because we just don’t have faith that our elders will tackle the tough issues. Those of us in my generation that are paying attention look back at the last 30 years, of which 20 were under GOP Presidents (and yes, I recognize that they were not necessarily fiscally conservative and that Dems controlled Congress during much of that time) and just see a widening debt crisis. As I mentioned in a different post today, while it’s not fair to generalize an entire generation, it’s tempting (but alas not fair) sometimes to just blame the Boomers of both parties who elected the folks that got us into this mess (or failed to elect leaders who could avert it).

    It also seems to some of us that the older generations were so consumed by the post-Vietnam culture wars over those last 30 years that they let those culture wars become entrenched in a partisan politics that poisoned any attempt to find workable solutions. And that Boomers will cling to this culture war baggage and not get done the hard work that needs to happen now (but should have happened long ago). And that is where we find ourselves today. I’m not claiming that’s a completely fair assessment, but that’s what it looks like from where some of us youn’guns are sitting.

  • acat

    Not entirely in agreement regarding the culture wars, but they do serve as both a great wedge to split the various conservatives and non-conservative-republicans asunder. They also make a great distraction…

    I’m pretty sure I won’t see squat either… and as far as I can tell, you’re younger than this cat. I’m fine with taking that hit if it means that we can get the system to shut down. The alternative, and the true scenario of your second option – paying in and getting nothing out – is that the system collapses entirely.

    In some ways, I think that kind of a rip-the-bandage-off event would be exactly what this country needs … but then, I also know which side are more self-reliant.

    Mew

  • renny

    Of course little o is for death panels. He needs to gut Medicare to “save” it and to pay for the 30,000,000 deadbeats and illegals who aren’t insured.

    Also, as tea parties have hefty support among the seniors and many become more cons. as they age, bumping off the elderly only has an upside for the left.

  • YnotNOW

    is to have the people who RECEIVE value, determine what value is worth the cost. This is the whole idea of a free marketplace. Admittedly the Healthcare market is not a pure free market. In particular, insurance as a middle-man distorts decision-making on cost/value (“I’ve paid for this already, I might as well get a ___ return on my investment), but it at least has people choosing what level of coverage is worth their hard-earned dollars.

    If Government pays, then government decides what they will pay for. And not only is the “cost” not paid by the bureaucrat, but the “value” they receive in return is political – not patient care.

  • YnotNOW

    is to have the people who RECEIVE value, determine what value is worth the cost. This is the whole idea of a free marketplace. Admittedly the Healthcare market is not a pure free market. In particular, insurance as a middle-man distorts decision-making on cost/value (“I’ve paid for this already, I might as well get a ___ return on my investment), but it at least has people choosing what level of coverage is worth their hard-earned dollars.

    If Government pays, then government decides what they will pay for. And not only is the “cost” not paid by the bureaucrat, but the “value” they receive in return is political – not patient care.

  • runner12

    History tells us that sets a bad precedence. I don’t think we will ever see eye to eye on this one.

  • Flagstaff

    is right. Once you reach 65, about the only health insurance available is Medicare. Period. Employer-paid insurance for retirees is generally cut off at that point. Medicare still allows a certain amount of choice of coverage today, for additional premium payments, of course.

    My primary problem is with the government being at the table at all. It sounds right to say that “If one isn?t willing or able to pay for their own healthcare, then they should be subject to the limitations imposed by taxpayers who are footing the bill,” but most people don’t have any alternative to Medicare, and they’d have even less control under OCare.

    If We the People, through our government, decide that we “must” provide health care to ALL seniors, which in turn crowds out alternatives, the argument for government having a place at the table is not so strong.

    Government exerts its power by determining what those Medicare policies can and/or must cover, and what the citizen must pay for basic coverage. It is overkill to also have a say as to how individuals will be treated. BTW, the reason Medicare is going broke is because the government wanted to appear beneficent by requiring Lincoln medical coverage while only charging Ford premiums. They have been trying ever since to close the gap by underpaying care providers. That leads to less availability of care, which drives its price up even more.

  • Flagstaff
  • reddotor
  • reddotor

    between death panels and,

    “Government exerts its power by determining what those Medicare policies can and/or must cover, and what the citizen must pay for basic coverage.”

  • Flagstaff

    THAT’S funny!