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Health

Conservatives Fabricate ‘Mandatory’ End-Of-Life Consultations In House Bill

Yesterday, during President Obama’s AARP town hall, a caller stated that she had “heard lots of rumors going around about this new plan…I have been told there is a policy there that everyone that Medicare age will be visited and told to decide how they wish to die.” This “rumor” which may have been started by infamous health care provocateur Betsy McCaughey has made its way into the standard conservative critique of the Democrats’ reforms:

- Laura Ingraham: Old people could be visited in their homes and essentially be told ” all right, sweetie, you’ve had a good life...I don’t want a government bureaucrat telling him what kind of treatment he should consider to be a good citizen. That’s frightening.

- Rep. Virginia Foxx (R-NC): [Americans will be] put to death by their government.

- Rush Limbaugh: The bureaucratic going to make the decisions. You aren’t. And it’s in the House bill. Once you reach, I don’t know what the age is, every five years, it’s in the sixties, every five years some counselor shows up.

- Sean Hannity: In other words, they would mandate that those who get government care literally could be pushed to refuse care.

Watch a compilation:

To substantiate their claims, conservatives point to SEC. 1233 of the House Tri Committee bill, a section titled “ADVANCE CARE PLANNING CONSULTATION.” But while the language allows Medicare to reimburse providers for consulting with patients about end-of-life issues, nothing in the section mandates a consultation. On page 429, the bill specifically states that seniors “may” consult with medical professionals — not government bureaucrats:

billtext2

The bill aims to provide seniors with information about drafting a living will or the options surround end of life care, information Americans have been asking for. A recent report by ThirdWay found that “although 75% of Americans feel advance directives are a good idea, only 40% of Medicare patients say they have one.” Given the lack of clear information, “many patients sign documents that don’t offer clear instructions. Family members may have conflicting feelings about the care they wish to see a patient receive…For elderly patients, their end-of-life wishes regarding care are often unknown or ignored.” The new optional Medicare service seeks to reverse that trend and help patients make more informed end-of-life decisions.

Transcript: Read more

Yglesias

I Don’t Mean to Stare / We Don’t Have to Breed

I have to say that I was really shocked to see David Brooks devote an entire column yesterday to the question what would happen if a freak solar event sterilized the entire Western Hemisphere? His answer: Nothing good! Kerry Howley, baby hater, tries to stand up for the view that immigrants could replace us. I mostly want to take issue with Brooks’ anti-materialist view of why society would collapse:

Even after the event, material conditions would be exactly the same. People would still have an incentive to go to work, pay off their bills and educate the children who were already with us. For 20 years, there would still be workers flowing into the labor force. Immigrants from the other side of the earth could eventually surge into the areas losing population. If anything, the mass-sterilization might reduce the environmental strain on the planet. People might focus on living for the moment, valuing the here and now.

But, of course, we don’t lead individualistic lives. Material conditions do not drive history. People live in a compact between the dead, the living and the unborn, and the value of the thought experiment is that it reminds us of the power posterity holds over our lives.

This is nuts. Material conditions would be radically and immediately altered by a mass sterilization event. You don’t need to believe any outlandish claims about the efficiency of financial markets to note that markets would very quickly adjust the price of a whole range of things in light of the drastic alteration of demographic trends. How’s the already depressed housing market looking? The stock of companies that make baby food and other stuff for infants? Kindergarden teachers won’t be out of work for a few years, but the smart ones will start looking for new jobs immediately. And then there would, of course, be massive uncertainty in both hemispheres about the future of immigration policy. That would unsettle expectations, disrupt investment decisions, etc.

You’d probably have a very severe financial crisis with quite real consequences. A “huge collapse” scenario doesn’t strike me as at all implausible. But the mechanism is as material as anything else you like.

Politics

Rep. Louie Gohmert quietly signs onto birther bill.

gohmertbush Matt Finkelstein at Media Matters Action notes that Rep. Bill Posey’s (R-FL) “birther bill” has gained its 10th Republican cosponsor: Rep. Louie Gohmert (R-TX). “Notably, Rep. Gohmert hasn’t issued a press release announcing his sponsorship, so it seems he doesn’t want to advertise his move toward the fringe,” Finkelstein adds. Gohmert seems to be a fan of Obama conspiracy theories and recently went on the radio show of conspiracy theorist Alex Jones. RNC chairman Michael Steele released a statement today saying that the birther movement is an “unnecessary distraction.”

Economy

Chamber Of Commerce: Arbitration Is ‘Poison’ Unless It Favors Us

poisonThe Associated Press reported that opponents of the Employee Free Choice Act (EFCA), feeling that they have dispensed with majority sign-up, are starting to “intensify their attack on another major provision [of the bill]: Binding arbitration if a new union and management can’t agree on a first contract within 120 days.”

A popular narrative from these opponents is that majority sign-up was actually just a red herring, meant to distract everyone from the arbitration provision that labor really wanted. “We suspected from the beginning that the binding arbitration was packaged with the elimination of the secret ballot in order to create a straw man they could take down later,” said Sen. Jim DeMint (R-SC). In that vein, the Chamber of Commerce had this to say about EFCA’s arbitration provision:

Card check is the political poison in the bill, but forced arbitration is the real poison,” said Steven Law, general counsel of the U.S. Chamber of Commerce.

If arbitration truly is poisonous, then the Chamber must have built up quite an immunity over the years. After all, it has consistently favored binding arbitration, when such arbitration helps it avoid litigation in consumer disputes. Here’s some of the Chamber’s prior rhetoric:

– Lisa A. Rickard, president of the U.S. Chamber Institute for Legal Reform, wrote that the findings of an arbitration study “prove that arbitration continues to provide consumers with fair, inexpensive, and unbiased access to justice across the broadest spectrum of consumer disputes.” [3/11/09]

– The data is increasingly clear: for most consumers, arbitration is a better way to resolve disputes than being forced into court. [Chamber Press release, 7/15/08]

Virtually any type of dispute between private individuals or entities can be addressed by arbitration, including, for example, contract, real estate, employment, and tort disputes. [U.S. Chamber Institute for Legal Reform, “Issues Resource Center”]

Overall, U.S. companies include mandatory arbitration clauses in 75 percent of consumer agreements. The Chamber seems to have no problem with that, but when arbitration translates into workers getting a fair shot at a contract, it’s suddenly poisonous.

Arbitration is a necessary part of EFCA because, all too often, employees vote to form a union, but can’t get a first contract due to their employer’s delay tactics. More than half of new unions still have no contract one year after they are certified, and 37 percent have no contract after two years. A full quarter of new unions wait more than three years to receive a first contract.

Yglesias

The Scatterplot You’ve Been Waiting For

In order to help enlighten Bill O’Reilly, reader K.S. kindly produced a scatterplot chart associating life expectancy and population size. In order to avoid outliers, he excluded microstates with populations of under 500,000 and used the log of population rather than population. The results:

popexpect-1

As you would expect, nothing doing here.

Politics

Van Hollen on protesters hanging Dem. congressman effigy: It was a ‘shocking and despicable act of hate.’

Yesterday, ThinkProgress and other sites called attention to anti-health care protesters who recently hung up an effigy of Rep. Frank Kratovil (D-MD) outside his district office in Salisbury, MD. The city was also the site of a recent symposium on the dangers of “government-run health care,” sponsored by a group called “Patients First,” a project of the lobbyist-funded Americans for Prosperity. Today, DCCC chairman and Maryland congressman Chris Van Hollen put out a statement condemning hanging effigies of federal lawmakers:

This shocking and despicable act of hate has no place in any debate and Republicans must condemn it.

While there should be a robust exchange of ideas about the best way to reform our broken health insurance system, violent expressions are beyond the boundaries of a respectful and civilized debate. With skyrocketing health care costs hurting more families each day, we cannot afford to have this serious debate sidetracked by outrageous displays like this.

The American people are counting on Republicans to join Democrats in a constructive way to help President Obama bring urgently-needed health insurance reform.

Yglesias

Baucus to Unveil Magical Health Care Bill?

Max Baucus is making some big claims on his own behalf, according to Jeff Young:

A draft bipartisan healthcare reform bill being negotiated in the Senate would extend insurance coverage to 95 percent of legal U.S. residents, cost less than $900 billion and actually reduce the federal budget deficit over 10 years, Senate Finance Committee Max Baucus (D-Mont.) said Wednesday. [...] “The current draft of the bill scores below $900 billion over 10 years, covers 95 percent of all Americans by 2015 and is fully offset,” Baucus said. “In fact, according to the preliminary CBO report, the bill would actually reduce the federal deficit in the 10th year by several billion dollars.”

Is this possible? I can envision two scenarios. One is that the Finance Committee is defining “covers” in a pretty stingy way. A lot of reformers are going to have a big problem with that, if that proves to be the case, though I’m a bit more open-minded about the possible virtues of a bare-bones minimum benefits package. The other, which the artful phrase “scores below $900 billion over 10 years” makes me suspect, is that he’s basically accomplishing this through accounting gimmicks. If you phase a plan in slowly enough, you can get the 10 year score as low as you like.

Security

Lou Dobbs Show Promotes Myth That ‘Gaping Loophole’ Will Provide Health Care Coverage For ‘Illegals’

Last night, Lou Dobbs Show correspondent Lisa Sylvester reported that “people who break immigration laws” will be “rewarded” with free health care coverage due to “gaping loopholes” in the proposed health care bill. Sylvester interviewed right-wing immigration hardliners and health care opponents to make her case:

ROBERT RECTOR, HERITAGE FOUNDATION: What we’re doing is creating a new program for low-income people to give them free medical care and giving illegal immigrants free and total access to that system. It’s a huge transformation. It’s radically different than anything the country has done in the past.

SYLVESTER: An amendment was offered that would have enabled states to use the Welfare Eligibility data base to keep illegal immigrants from qualifying for health care benefits. But that amendment was defeated in committee on a party line vote. And there’s another provision in this bill that some Republicans take issue with. It says that if one member of a family is eligible to receive universal health coverage then the entire family is eligible. Representative Lamar Smith calls that another loophole that he says will permit illegal immigrants to receive taxpayer funded health coverage.

Watch it:

Far from “free and total access,” there is specific language in both the House and Senate bills that prohibits undocumented immigrants from obtaining any federal health care assistance. However, several conservatives are still whining about the failure of the Heller Amendment, which Sylvester also cites above. None of them have mentioned that the amendment would have given private insurance providers unprecedented access to the sensitive income and identity information of all those applying for health care assistance while curtailing the privacy and redress responsibilities that the Social Security Act requires of government agencies.

The second “loophole” that Smith falsely claims will allow undocumented immigrants to receive universal coverage through legal family members represents another distortion. The House bill clearly stipulates that only family members who are “affordable credit eligible individuals” will receive government assistance. “Affordable credit eligible individuals” are defined as someone who is lawfully present in the US.

Rather than requiring Americans to hand over sensitive information to private insurers, the eligibility provision is enforceable via less invasive documentation requirements. If Congress decides to take up comprehensive immigration reform, there’s also the likely possibility that illegal immigration will be addressed head-on by putting undocumented immigrants on a path to legalization which is when and how this whole topic should be addressed in the first place.

Yglesias

National Review Wants Cops to Kill Civilians

Beware? (cc photo by jondoeforty1)

Beware? (cc photo by jondoeforty1)

Via Ta-Nehisi Coates and Radley Balko, National Review offers us the appalling views of one LAPD officer:

So, since the president is keen on offering instruction, here is what I would advise he teach his Ivy League pals, and anyone else who may find himself unexpectedly confronted by a police officer: You may be as pure as the driven snow itself, but you have no idea what horrible crime that police officer might suspect you of committing. You may be tooling along on a Sunday drive in your 1932 Hupmobile when, quite unknown to you, someone else in a 1932 Hupmobile knocks off the nearby Piggly Wiggly. A passing police officer sees you and, asking himself how many 1932 Hupmobiles can there be around here, pulls you over. At that moment I can assure you the officer is not all that concerned with trying not to offend you. He is instead concerned with protecting his mortal hide from having holes placed in it where God did not intend. And you, if in asserting your constitutional right to be free from unlawful search and seizure fail to do as the officer asks, run the risk of having such holes placed in your own.

The fact that African-American men are disproportionately likely to be put in this position, and that some police officers have this mentality, does a lot to explain the generalized distrust of cops by many people in that demographic.

Meanwhile: This is insane. Most people like and respect cops, and honor the work they do. But it’s a profession that’s honored precisely because the people doing the job correctly don’t do the job this way. Police officers, in the course of duty, subject themselves to extra-normal risk of harm for the sake of the welfare of others. This is the mentality of a foreign occupying army, not a well-functioning police force.

Politics

Rep. Roy Blunt: ‘I don’t believe’ Obama has produced a birth certificate.

Blogger-activist Mike Stark has been on Capitol Hill in recent days, asking federal lawmakers who walk by whether or not they believe President Obama was born in the United States. In a video released earlier this week, many Republican officials unfortunately conveyed to Stark that they subscribe to the conspiracy theory promoted by the “wacko wing” of their party. Today, Stark released a second video. In it, Rep. Roy Blunt (R-MO) reveals that he’s a “birther”:

Blunt: What I don’t know is why the President can’t produce a birth certificate. I don’t know anybody else that can’t produce one. And I think that’s a legitimate question. No health records, no birth certificate…

Stark: He’s produced a certificate of live birth, right?

Blunt: Not that I — I don’t believe so.

Stark: No, he has. Chris Matthews held it up on Hardball the other night.

Blunt: Talk to Chris Matthews.

Watch it:

But as Eric Kleefeld notes, Blunt voted for a resolution recently that stipulated Obama was born in Hawaii.

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