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Context of 'July 23-24, 2009: Health Care Lobbyist Accuses White House Advisers of Favoring Denial of Treatment to ‘Less Productive’ Citizens'

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The conservative Washington Times, a staunch opponent of President-elect Barack Obama, publishes an editorial predicting that the incoming Obama administration will, in some form or fashion, move to “exterminate” babies with disabilities and other “useless” Americans through its promised reform of the US health care system, similar to actions taken by the Nazis before World War II. The Times provides a brief synopsis of Adolf Hitler’s “T4 Aktion” program designed, in the words of the Times, “to exterminate ‘useless eaters,’ babies born with disabilities. When any baby was born in Germany, the attending nurse had to note any indication of disability and immediately notify T4 officials—a team of physicians, politicians, and military leaders. In October 1939 Hitler issued a directive allowing physicians to grant a ‘mercy death’ to ‘patients considered incurable according to the best available human judgment of their state of health.’ Thereafter, the program expanded to include older children and adults with disabilities, and anyone anywhere in the Third Reich was subject to execution who was blind, deaf, senile, retarded, or had any significant neurological condition, encephalitis, epilepsy, muscular spasticity, or paralysis. Six killing centers were eventually established, and an estimated quarter-million people with disabilities were executed.” The Times draws a parallel between the Nazis and the Obama administration’s support for legal abortion and for physician-assisted suicide, which it equates with “euthanasia.” The incoming administration will, the Times fears, begin “selecting” babies with disabilities for what apparently will be “selective abortions.” It quotes the Reverend Briane K. Turley as saying: “Were God’s design for us left unhindered, we could naturally expect to welcome 40,000 or more newborn infants with Down syndrome each year in the US. And yet we have reduced that number to just under 5,500. These data strongly indicate that, in North America, we have already discovered a new, ‘final solution’ for these unusual children and need only to adapt our public policies to, as it were, ‘cure’ all Down syndrome cases.” Turley, the Times notes, claims that “there is growing evidence suggesting that, among health care practitioners and systems, the central motivation behind legally enforced or high pressure screenings is economics.” The Times then adds: “[A]nd the results seem to bear him out. America’s T4 program—trivialization of abortion, acceptance of euthanasia, and the normalization of physician assisted suicide—is highly unlikely to be stopped at the judicial, administrative, or legislative levels anytime soon, given the Supreme Court’s current and probable future makeup during the Obama administration, the administrative predilections that are likely from that incoming administration, and the makeup of the new Congress.” The Times predicts a new “final solution” of “extermination” that will start with disabled infants and will progress “from prenatal to postnatal to child to adult.” (Washington Times 11/23/2008) The editorial anticipates the “deather” claims that many conservatives will make in the summer of 2009 (see January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 6, 2009, August 7, 2009, August 10, 2009, August 10, 2009, Shortly Before August 10, 2009, August 11, 2009, August 11, 2009, August 12, 2009, August 12, 2009, and August 13, 2009).

President Obama, in a televised “town hall” event held in the White House to discuss health care reform, suggests that one way to trim medical costs might be to cease performing expensive and futile treatments—“extraordinary measures”—on terminally ill patients who do not want such interventions and would not benefit from them. Currently, doctors who have no particular instructions will perform “extraordinary measures” to stave off a terminally ill patient’s death, even for a matter of hours, no matter how intrusive or expensive the procedure. Obama tells his listeners that families need better information so they don’t unthinkingly approve “additional tests or additional drugs that the evidence shows is not necessarily going to improve care.” In some instances, he says, “Maybe you’re better off not having the surgery, but taking the painkiller.” He notes the experience of his recently deceased grandmother, Madelyn Dunham, was diagnosed with terminal cancer and given less than nine months to live. When she broke her hip, she and her family had to decide whether to put her through a long, expensive, and painful hip-replacement procedure. “[A]nd the question was, does she get hip replacement surgery, even though she was fragile enough they were not sure how long she would last?” he says. (Nicholas 6/25/2009) Obama is not advocating that life-extending treatments be forcibly denied to terminally ill or elderly patients (see July 23, 2009 and July 23, 2009), but his remarks will be misconstrued as advocating just such a position (see June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23-24, 2009, and July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 7, 2009, August 10, 2009, Shortly Before August 10, 2009, August 11, 2009, and August 12, 2009).

House Representative Paul Broun (R-GA—see November 11, 2008) says that the Obama health care reform proposals will kill Americans. On the floor of the House, Broun attacks the idea of a “public option,” described by Congressional Democrats as a government-funded alternative to private health care. Broun says, “[T]his program of ‘government option’ is being touted as being the panacea, the savior of allowing people to have quality health care at an affordable price is gonna kill people.” Broun says that Canada and the United Kingdom, both countries that rely on public health care, “don’t have the appreciation of life as we do in our society.” Progressive news and advocacy site Think Progress notes that both Canada and the UK have both a lower infant mortality rate and longer life expectancy than the US. (Think Progress 7/10/2009) Liberal media watchdog site Media Matters notes that neither the Canadian nor British health care systems serve as models for President Obama’s health care reform proposals. (Media Matters 7/10/2009) Broun’s claims are based in part on health insurance advocate Betsy McCaughey’s warnings that the health care reform proposal will encourage senior citizens to die sooner (see February 9, 2009 and July 23-24, 2009), warnings that are debunked by the St. Petersburg Times (see July 23, 2009).

Betsy McCaughey, the chairman of the Committee to Reduce Infection Deaths, a former Republican lieutenant governor of New York, and a conservative opponent of health care reform, says that under the Obama administration’s reform proposal, elderly Americans would be encouraged to die earlier to save money (see February 9, 2009 and July 23-24, 2009). On conservative radio host Fred Thompson’s show, she says, “Congress would make it mandatory—absolutely require—that every five years people in Medicare have a required counseling session that will tell them how to end their life sooner.” These sessions will help elderly patients learn how to “decline nutrition, how to decline being hydrated, how to go in to hospice care… all to do what’s in society’s best interest or in your family’s best interest and cut your life short.” (St. Petersburg Times 7/23/2009) “These are such sacred issues of life and death. Government should have nothing to do with it.” Thompson calls McCaughey’s claim the “dirty little secret” of the health care reform proposal. (St. Petersburg Times 7/23/2009; Brown 7/28/2009) In August, progressive MSNBC host Rachel Maddow will tell her listeners: “That is not true at all, not a word of it. Not mandatory, not require, not every five years, not counseling, not tell them, not how to, not end their life. None of the words in that claim are true except maybe the two ‘that’s’ and the word ‘in.’ It’s not true, but it is convenient, and so it survives. And it is in fact being promoted more than ever. It’s convenient for the interests [that oppose] health care reform to scare old people about reform.” (MSNBC 8/12/2009) The next day, McCaughey publishes an op-ed in the New York Post advancing the same arguments. “One troubling provision” of the bill, she writes, “compels seniors to submit to a counseling session every five years… about alternatives for end-of-life care.… [The] mandate invites abuse, and seniors could easily be pushed to refuse care.” (McCaughey 7/17/2009)
Availability of Discussions Mandated Since 1990 - The provision in question states that as part of an advanced care consultation, an individual and practitioner will have a consultation that includes “an explanation by the practitioner of the continuum of end-of-life services and supports available, including palliative care and hospice, and benefits for such services and supports that are available under this title.” Such explanations and consultations have been part of government-provided senior care since 1990; in 2003, the Bush administration issued guidelines for physicians’ discussion of end-of-life care with seniors.
Claims Contradicted - John Rother of the American Association of Retired Persons (AARP) counters with a statement: “This measure would not only help people make the best decisions for themselves but also better ensure that their wishes are followed. To suggest otherwise is a gross, and even cruel, distortion—especially for any family that has been forced to make the difficult decisions on care for loved ones approaching the end of their lives.” Jon Keyserling of the National Hospice and Palliative Care Organization adds: “I was surprised that any responsible legislative analyst would indicate this is a mandatory provision. That is just a misreading of the language and, certainly, of the intent.” McCaughey later responds to those statements by repeating her assertions, saying that doctors would “pressure” seniors to accept less costly services that would lead to quicker deaths. (St. Petersburg Times 7/23/2009; Brown 7/28/2009)
Debunked - McCaughey’s claims will soon be disproven (see July 23, 2009).

Betsy McCaughey, the former lieutenant governor of New York and a lobbyist for the health care industry, writes two frightening op-eds, one for the Wall Street Journal and one for the New York Post, that make false claims about the Democrats’ health care reform package. In the Journal, she claims that the bill contains a provision that would “pressure the elderly to end their lives prematurely,” a claim she has made before (see July 16, 2009). In the Post, she goes much farther, claiming that two of President Obama’s top health care advisers favor denying expensive health care treatments to senior citizens, the mentally disabled, and other “less productive” members of American society. She names Ezekiel Emanuel, a bioethicist, the health care adviser at the White House’s Office of Management and Budget (OMB), and a member of the Federal Council on Comparative Effectiveness Research. She cites a 2008 article by Emanuel in the American Medical Association’s journal, where he wrote that some doctors sometimes go too far, construing the Hippocratic Oath “as an imperative to do everything for the patient regardless of the cost or effects on others.” McCaughey takes Emanuel’s words and accuses him of wanting “doctors to look beyond the needs of their patients and consider social justice, such as whether the money could be better spent on somebody else. Many doctors are horrified by this notion; they’ll tell you that a doctor’s job is to achieve social justice one patient at a time.” McCaughey states that Emanuel believes “medical care should be reserved for the non-disabled, not given to those ‘who are irreversibly prevented from being or becoming participating citizens…’ Translation: Don’t give much care to a grandmother with Parkinson’s or a child with cerebral palsy.” She also claims that Emanuel “explicitly” advocated denying health care to senior citizens in favor of providing treatment to younger patients. McCaughey claims that both Emanuel and Dr. David Blumenthal, the White House’s national coordinator of health information technology, favor “slowing medical innovation to control health spending” and denying patients access to advanced medical technology. According to McCaughey, Blumenthal also favors letting “computers tell… doctors what to do.” She concludes: “No one has leveled with the public about these dangerous views.… Do we want a ‘reform’ that empowers people like this to decide for us?” (McCaughey 7/23/2009; McCaughey 7/24/2009) A White House official later notes that McCaughey misrepresented Emanuel’s writings, and that Emanuel was describing positions and beliefs that he opposed in the same articles. ABC News’s Jake Tapper will note that Emanuel’s fellow doctors and medical ethicists know him as a fervent advocate of the rights of dying patients. (Tapper 7/28/2009) And Emanuel himself will rebut McCaughey’s claims (see August 12, 2009). McCaughey’s previous claims about the dangers of health care reform, including her assertion that reform would encourage doctors to let senior citizens die, have been roundly debunked (see July 23, 2009).

Rep. Louis Gohmert.Rep. Louis Gohmert. [Source: Associated Press / Washington Blade]Representative Louis Gohmert (R-TX) lays out a skein of theories on radical radio host Alex Jones’s broadcast. During his interview with Jones, Gohmert accuses the Obama administration and Congressional Democrats of trying to implement socialism and kill senior citizens; Jones and Gohmert compare Obama to a number of foreign despots. Gohmert tells Jones and his listeners: “We’ve been battling this socialist health care, the nationalization of health care, that is going to absolutely kill senior citizens. They’ll put them on lists and force them to die early because they won’t get the treatment as early as they need.… I would rather stop this socialization of health care because once the government pays for your health care, they have every right to tell you what you eat, what you drink, how you exercise, where you live.… But if we’re going to pay 700 million dollars like we voted last Friday to put condoms on wild horses, and I know it just says an un-permanent enhanced contraception whatever the heck that is. I guess it follows that they’re eventually get around to doing it to us.” Gohmert is echoing claims by Republican lawmakers and industry lobbyists that the Democrats’ health care reform proposal will kill senior citizens (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, and July 23-24, 2009). Jones ups the ante by accusing the White House “science czar” of planning to “put… stuff in the water to sterilize us,” and then goes on to accuse the White House of, among other things, implementing a “eugenics control grid over us” and implementing “youth brigades, national service compulsory in a group outside the military under the Democratic Party control in the city year in the red and black uniforms.” Gohmert agrees with Jones, and says these kinds of policies were “done in the 1930s,” a plain reference to Nazi Germany, “and it’s not the only place its been done. It has been done throughout history.” Jones says, “Mao did it,” referring to Communist China’s Mao Zedong. Gohmert agrees: “Well, that’s exactly what I was thinking of. This is the kind of the thing we got to stop. We got to get back to the roots, the basics.” Gohmert praises Jones for his rhetoric and accusations: “That shows how on top of things you are, Alex.” For his part, Jones effusively thanks Gohmert and reminds him that “you’re there fighting and we’re supporting you.” (Fang 7/27/2009) Progressive MSNBC host Rachel Maddow says of Gohmert and Jones: “You know, the Democrats may be fighting it out about whether they’re going to be beholden to the insurance companies and whether there’s going to be a public option in health care reform. But when it comes to the Republicans, this is the kind of thing they are bringing to the table: Hitler, Mao, and secret plots to kill old people.” (MSNBC 7/29/2009)

Following up on arguments that Congressional Democrats’ health care reform proposal would encourage senior citizens to die sooner (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, and July 24, 2009), conservative radio host Rush Limbaugh tells his listeners, “People at a certain age with certain diseases will be deemed not worth the investment, and they will just—as Obama said—they’ll give them some pain pills and let them loop out until they die and they don’t even know what’s happened.” During a phone-in town hall on health care the same day as Limbaugh’s broadcast, President Obama will say something quite different from Limbaugh’s characterization (see July 28, 2009). MSNBC host Rachel Maddow says of Limbaugh’s allegations later that evening: “‘Democrats want to reform health care because it’s a secret plan to kill people.’ This is the kind of thing that when it shows up on the floor of the House or in a town hall with the president, you get a little glimpse of crazy. But the nest for this kind of crazy, where this stuff is hatched, it’s among the conservative base and in the conservative media. Conservative talk radio is really where they let it all hang out.” (MSNBC 7/29/2009)

Anti-health care reform proponents claim that the Democrats’ reform package will allow the government direct access to US citizens’ bank accounts. In some variants of the claim, the government will steal money from those accounts to fund the reform package. The claim is quickly disproven.
From an E-mailed 'Clearinghouse of Bad Information' - Apparently the claim originates in a “chain e-mail” sent out by an anonymous anti-reformer. The e-mail, which references its claims by page numbers from HR 3200, the pending House version of the reform legislation, is characterized by the St. Petersburg Times’s “PolitiFact” team as a hugely long e-mail that they call “a clearinghouse of bad information circulating around the Web about proposed health care changes.” The e-mail is apparently based in part on the work of Peter Fleckenstein, who sends frequent and regular commentaries on Twitter under the name “Fleckman,” and posts his analyses on his blog. Fleckenstein identifies his Twitter comments with the tag #tcot, which stands for “top conservatives on Twitter.” A health care analyst with the nonpartisan Kaiser Family Foundation, Jennifer Tolbert, calls the e-mail “awful.… It’s flat-out, blatant lies. It’s unbelievable to me how they can claim to reference the legislation and then make claims that are blatantly false.” Tolbert is particularly offended by the e-mail’s claim that ordinary citizens will suffer a lack of health care in order to provide free care for illegal immigrants. Many of the e-mail’s other claims are equally wrong.
Based on Provision for Electronic Health Records - The claim that “[t]he federal government will have direct, real-time access to all individual bank accounts for electronic funds transfer” is based on a portion of the legislation that provides for electronic health records, including the enabling of “electronic funds transfers in order to allow automated reconciliation” between payment and billing. However, the government will not have access to citizens’ bank accounts and will not be able to make unauthorized withdrawals. (Holan 7/30/2009; Roth 8/11/2009)
Quick Promulgation - However, the lie quickly makes the rounds of conservative anti-reformers. Talk show host Rush Limbaugh cites the false claim numerous times on his radio broadcast; on August 6, he calls the program “[d]irect deposit access to every individual’s bank account,” and says: “That is in the House bill. You think that’s the worst thing in it. I’m not arguing with you, but there are things that are a greater abomination than that. I mean, this bill determines, the government’s going to determine who lives and dies. They are going to fund abortions and they are going to be for euthanasia on the back end” (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 6, 2009, August 7, 2009, August 10, 2009, and August 10, 2009). On a local conservative radio show in early August, Representatative John Shadegg (R-AZ) calls the supposed provision “pretty Orwellian.” On August 11, a participant in a “town hall” forum hosted by Senator Arlen Specter (D-PA) asks about the claim. (KFYI 8/2009; Rush Limbaugh 8/6/2009; Roth 8/11/2009)
Similar to Automatic Bill Payment - Progressive media watchdog Web site Media Matters notes: “[I]f you’re paying back a student loan from the government (like we are) and you’ve set up automatic bill pay online, this is the same thing. Completely uncontroversial, and totally not scary—unless if you’re trying to fearmonger.” (Maloy 8/6/2009)

Progressive author and columnist Joe Conason writes that if the Democrats’ attempt to reform health care fails, “much of the blame rests on our political culture’s empowerment of deception and ignorance. Fake erudition is revered, every hoax is deemed brilliant, and prejudice is presented as knowledge—while actual expertise is disregarded or devalued.” Conason points to two conservative commentators as primary founts of destructive misinformation: neoconservative publisher and cable news pundit William Kristol, and health industry lobbyist Betsy McCaughey (see January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, July 16, 2009, and July 23-24, 2009), whom Conason names as “the right-wing celebrities who worked so hard to kill the Clinton reform plan” in 1994 (see Mid-January - February 4, 1994). Conason labels McCaughey as “the source of the ‘elderly euthanasia’ hoax now circulating on the Internet, talk radio, and in right-wing media, which claims that Democratic health bills will force old, ill Medicare recipients into making plans for their own deaths” (see July 28, 2009). A thorough debunking of her claims by a variety of Congressional and media sources (see July 23, 2009, July 23, 2009, and Late July, 2009) has done little to derail the impact on the media, and on the citizenry, that McCaughey’s claims are having. McCaughey’s falsehoods are being heavily, and effectively, promoted by Kristol and other conservative pundits (see July 17, 2009) on Fox News and other media outlets. Conason notes that Kristol, interviewed by Jon Stewart of The Daily Show, admitted that the government provides “first-class” healthcare to American soldiers and senior citizens (in the form of the Veterans Administration and Medicare) before trying, and failing, to back away from the admission. (Conason 7/31/2009)

Screenshot of the bottom of Recess Rally’s home page, taken August 22, 2009.Screenshot of the bottom of Recess Rally’s home page, taken August 22, 2009. [Source: Recess Rally (.com)]MSNBC host Rachel Maddow examines an organization called “Recess Rally,” which is promoting anti-health care protests over the Internet, providing information about upcoming “town hall” forums hosted by Democratic lawmakers, and proclaiming, “We the people say no to socialized health care.” Maddow gives some information on who is organizing Recess Rally. At the bottom of Recess Rally’s home page, a number of sponsors are listed, including conservative blogger and Fox News commentator Michelle Malkin, and conservative blogs such as RedState and Smart Girl Politics.
Funded by Corporate Lobbying Firms, Corporate Interests - Other sponsoring organizations are less easily identifiable as citizen organizations. American Majority is a lobbying organization headed by Ned Ryun, a former speechwriter for President George W. Bush; many of the organization’s senior officials are veterans of the Bush-Cheney 2004 presidential campaign, former Republican lawmakers, and conservative lobbyists. American Majority is itself an offshoot of another organization, the Sam Adams Alliance. That organization is headed by a former executive director of the Illinois State Republican Party, and by a former Dow Chemicals engineer who also heads a large conservative think tank. Another sponsor of Recess Rally is a group called Let Freedom Ring, whose founder provided the funding for the 2008 Republican campaign ads that used footage of the 9/11 attacks to promote the Iraq war. Another sponsor was responsible for the 2004 “Swift Boat” campaign advertisements that besmirched then-presidential candidate Senator John Kerry (D-MA). Two other groups sponsor Recess Rally: Americans for Prosperity (AFP—see May 29, 2009, July 27, 2009, and August 1, 2009) and its subsidiary, Patients First (see July 23, 2009, July 27, 2009, and August 6, 2009). AFP runs Patients First, which is busing people around the country to demonstrate against health care reform, and another “grassroots” organization, Patients United Now (PUN). Maddow says that groups like these are “experts at fake grassroots campaigns that promote corporate interests.” (AFP president Tim Phillips will call the buses “really good props”—see August 6, 2009.)
Sincere Americans Protesting at Direction of Corporate Interests, PR Firms - Noting that AFP is headed by, among others, oil billionaire David Koch and longtime Republican fund-raiser Art Pope, Maddow says: “This oil industry and Republican operative millionaires’ club is, according to the Republican Party… just average, middle-class Americans—just regular American folks sitting around the kitchen table, thinking about whether they can get away with saying that the government continuing its long standing policy of encouraging living wills is really a secret plot to kill old people (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, and July 31, 2009 - August 12, 2009). Americans are showing up at these events to shout down the discussion and to chase their congressmen and they are enraged. And they’re enraged at least in part because they’re being riled up by over-the-top, fabricated conspiracy theories about health care. And they’re being directed and orchestrated by the corporate interests that do this for a living and do it very well. is not some organic outgrowth of American anger. This is how corporate America creates the illusion of a grassroots movement to support their own interests. This is what they do. They are professionals. This is an industry. To talk about these town hall events as some organic outpouring of average American folks who have concerns about health care is to be willfully blind as to what is really going on—which is professional PR operatives generating exploitive, manufactured, strategically deployed outrage in order to line their own pockets. These PR spinmeisters get paid a lot of money for doing it. The corporations they work for get to kill legislation that would hurt their profits. And the real people who they launch into these town hall settings after they’re told that health care reform is a secret commie plot to kill old people and to mandate sex changes—those real people get more and more and more angry, and more and more and more alienated. And ultimately, they get left, like the rest of us, with a health care system that is broken and doesn’t work in the interests of the American people, but does work in the interests of the corporations that profit from the way the system is now. This is professional, corporate-funded, Republican staffed PR, and it should be reported as such.” (Recess Rally 8/2009; MSNBC 8/6/2009)

Sarah Palin holds her youngest child, Trig, for the cameras.Sarah Palin holds her youngest child, Trig, for the cameras. [Source: Hollywood Gossip]Former Governor Sarah Palin (R-AK), the Republican vice presidential candidate in 2008, writes on her Facebook page that the Democrats’ health care reform package would result in a government “death panel” that would kill her baby, Trig. Her child was born with Down Syndrome. Palin writes: “Americans delve into the disturbing details of the nationalized health care plan that the current administration is rushing through Congress, our collective jaw is dropping, and we’re saying not just no, but hell no!… And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s ‘death panel’ so his bureaucrats can decide, based on a subjective judgment of their ‘level of productivity in society,’ whether they are worthy of health care. Such a system is downright evil.” Palin also commends Representative Michele Bachmann (R-MN) for warning the nation about President Obama’s “Orwellian” health care adviser: “Rep. Michele Bachmann highlighted the Orwellian thinking of the president’s health care advisor, Dr. Ezekiel Emanuel, the brother of the White House chief of staff [Rahm Emanuel], in a floor speech to the House of Representatives. I commend her for being a voice for the most precious members of our society, our children and our seniors.” (Kleefeld 8/7/2009; Time 8/8/2009)
Inspired by Debunked Claims from Industry Lobbyist - Palin’s warning about government “death panels” is inspired by debunked warnings from industry lobbyist Betsy McCaughey and a variety of Republican lawmakers and conservative talk show hosts about the reform proposals’ implicit agenda to kill older Americans faster (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, and July 31, 2009 - August 12, 2009). Politico’s Ben Smith writes: “As nonpartisan sources note, the [proposal] deals with medical practitioners helping individuals prepare living wills, powers of attorney, and the like. It’s a long ways from there to a ‘death panel’ where bureaucrats decide who lives or dies.” (Smith 8/7/2009)
Countering Palin's Assertions - Progressive MSNBC host Rachel Maddow says of Palin’s assertions: “There is no Obama death panel. There’s no plan to kill old people. There’s no plan to kill off any people who aren’t productive enough. There’s no plan to kill off any of Sarah Palin’s children. And if we were actually talking about health care instead of waddling through this free-floating morass of factless partisan rage and corporate opportunism, it would occur to someone to notice that the provision being considered by Congress that has Sarah Palin ranting about Obama death panels and the death of her own children was introduced by Republican Senator Johnny Isakson of Georgia (see August 10, 2009). And it’s not about killing old people. It’s about making it easier for old people to create living wills. A similar provision was introduced by another Republican senator, Susan Collins of Maine. This is a Republican idea.” (MSNBC 8/10/2009) Days later, Senator Lisa Murkowski (R-AK) tells an audience: “It does us no good to incite fear in people by saying that there’s these end-of-life provisions, these death panels. Quite honestly, I’m so offended at that terminology because it absolutely isn’t [in the bill]. There is no reason to gin up fear in the American public by saying things that are not included in the bill.… There are things that are in this bill that are bad enough that we don’t need to be making things up.” (Demer 8/11/2009)

Anti-Obama protester at the discussion sponsored by Joe Donnelly.Anti-Obama protester at the discussion sponsored by Joe Donnelly. [Source: Daily Kos]Representative Joe Donnelly (D-IN) holds a meeting at a supermarket in South Bend, Indiana. He expects a few constituents to show up and discuss issues with him, including health care. Instead, several hundred people appear. One person attending the event later writes about it on the liberal blog Daily Kos. According to the blogger, about 70 percent of the attendees are vocally against health care reform. Many of them wear red T-shirts emblazoned with slogans claiming that reform is tantamount to government tyranny. “In all my life,” the blogger writes, “I have never heard such uninformed, paranoid, and downright ignorant discussion of an important issue as the conversation that went on before Donnelly arrived.” Numerous comparisons to Nazi Germany are made both before and during the event, with one woman directly comparing President Obama to Adolf Hitler. The same woman claims that Obama wants to use reform as an excuse to begin euthanizing senior citizens (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, and August 7, 2009) and enslaving American citizens. Other arguments being advanced include health care taking money from Americans to cover illegal aliens, mandatory abortions, health care rationing, and more. Several opponents claim that House Speaker Nancy Pelosi called Republicans Nazis, a falsehood spread by conservative talk radio (see August 4, 2009, August 6, 2009, August 6, 2009, and August 7, 2009). After the meeting, Donnelly says: “I don’t think it was heated. People are passionate about these issues. They expressed their ideas and gave me a chance to tell them what I think.” (Daily Kos 8/8/2009; Jackson 8/8/2009)

Conservative radio and Fox News television host Glenn Beck says he believes that “death panels” are real. Beck is referring to a recent statement made by former Alaska Governor Sarah Palin (R-AK), who accused Congressional Democrats of creating “death panels,” review boards that would make decisions as to who would receive medical treatment and who would be allowed to die, as part of their health care reform legislation (see August 7, 2009), itself a larger part of the so-called “deather” belief (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, and July 31, 2009 - August 12, 2009). On Beck’s radio show, he asks: “So, why is there no more discussion than there is on Sarah Palin and what she said over the weekend that there would be death—what did she call it?—a death squad? Or a death—” His executive producer, Steve Burguiere, fills in the name, “Death panel.” Beck continues: “A death panel for her son Trig. That’s quite a statement. I believe it to be true, but that’s quite a statement.… I believe she at least should be listened to and you should question, ‘Is it evil?’ Would there be—what would make her say that there would be a death panel? I mean, tomorrow on Fox at 5 o’clock, make sure you’re joining us, because we’ll ask some of those same questions. We will show you some of the reasons why you could read it this way. It’ll be up to you whether or not you find it credible enough to say: ‘Well, now, wait a minute. Those are really bad seeds that have been planted before. Maybe we shouldn’t plant those seeds.’ But it’s up to you to decide.” (Media Matters 8/10/2009)

Eric Boehlert.Eric Boehlert. [Source: Simon & Schuster]Eric Boehlert, an author and editor of the progressive news watchdog organization Media Matters, writes that, in his eyes, the media is ignoring the biggest “political story of the year”: “the unhinged radical-right response to [President] Obama’s inauguration and the naked attempt to dehumanize and delegitimize him through a nonstop smear campaign,” which he says is sponsored by the Republican Party and its conservative supporters. “The misguided movement breaks all kinds of taboos in American politics,” Boehlert writes, “as well as in the press, and is redefining our political culture—for the worse. Yet the press continues to play dumb.”
Playing the Nazi Card - Boehlert takes as his springboard the relative disinterest the mainstream media shows to the repeated accusations that Obama and/or Congressional Democrats are Nazis, or Nazi sympathizers, or have Nazi-like goals and ideals (see July 24, 2009, July 28, 2009, August 4, 2009, August 4, 2009, August 6, 2009, August 6, 2009, August 6, 2009, August 7, 2009, and August 10-11, 2009), as well as the virtually unreported use of Nazi symbols and rhetoric at anti-health care protests (see July 25, 2009, August 1, 2009, August 4, 2009, and August 8, 2009). Boehlert notes that in January 2004, the liberal advocacy organization MoveOn received weeks of negative publicity and media attention when it briefly posted two amateur video clips on its Web site submitted as part of a contest for 30-second Internet advertisements against the policies of the Bush administration. The organization removed the clips within hours and apologized for posting them, but was berated for weeks over the ads. Now, Boehlert notes, Rush Limbaugh and other prominent conservative spokespersons routinely use accusations of Nazism in their rhetorical attacks on Obama and Democrats, with virtually no acknowledgement from the press. Boehlert writes: “Despite the fact that Limbaugh has not apologized for his comments—unlike MoveOn in 2004—and is continuing to compare the Obama White House and the Democratic Party with Nazis, many in the media don’t consider it newsworthy and haven’t condemned it. And more important, journalists don’t show any signs of believing that the episode tells us anything about the radically unhinged nature of the right-wing media in this country today.” Apparently, he writes, most media analysts just consider Limbaugh’s extreme rhetoric a case of “Rush being Rush.” But, he asks, if Limbaugh is going to be considered the de facto leader of conservative thought in America, why isn’t he being challenged on his use of what Boehlert calls “his radical and outrageous rhetoric.… He went to a place that previously was considered unconscionable and unpardonable by the press.… Why isn’t Limbaugh uniformly condemned for his words?”
Accusations of Racism, Racist Pronouncements - And Limbaugh is merely one of many. Fox News commentator Glenn Beck recently accused Obama of being a “racist” and having a “deep-seated hatred of white people” (see July 28-29, 2009), and outside of the small number of progressive/liberal hosts on MSNBC and a few scattered notations in the press, the accusation was virtually ignored. “At the [Washington] Post, which obsesses over the intersection of the media and politics,” Boehlert writes, “the jaw-dropping attack by Fox News’s superstar host wasn’t considered newsworthy. That’s correct: Two of the most popular and powerful conservative voices in America have recently called out Obama as a Nazi and a racist.”
Legitimizing Extremism - Boehlert assigns part of the blame to journalists being “spooked by decades’ worth of ‘liberal media bias’ attacks” that drive them to “refuse to connect the glaringly obvious dots on display.” The extreme rhetorical attacks dovetail with what he calls “the town hall mini-mobs that are wreaking havoc across the country” and “the bizarre birther conspiracy theory” that insists Obama is not a US citizen, but some sort of “plant” from Kenya brought to America to bring down American democracy. “The three right-wing phenomena are all related,” he writes, “and they all revolve around a runaway hatred of Obama (as well as the federal government), and they’re all being fueled by the [conservative media operation], especially Fox News and Limbaugh, both of which no longer recognize common decency, let alone journalistic standards. Yet instead of putting Limbaugh on the receiving end of well-deserved scrutiny and scorn, rather than turning his comments into a political firestorm, the press plays dumb and actually goes out of its way to legitimize the worst offenders of the GOP’s hate brigade.” Boehlert condemns ABC News for inviting conservative blogger and columnist Michelle Malkin to take part in a discussion of health care reform “with Pulitzer Prize-winning writers.” Malkin, he writes, is a prime member of the “hate brigade,” helping push the increasingly angry and violent mob confrontations as well as exhorting readers to believe that the Democrats want to exterminate the elderly (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 7, 2009, and August 10, 2009). The New Yorker recently praised Michael Savage, who routinely attacks women, gays, liberals, and minorities with the worst rhetorical excess (see January 10, 2008, February 1, 2008, February 21, 2008, March 13, 2008, April 3, 2008, June 6, 2008, June 6, 2008, August 25, 2008, October 8-10, 2008, October 21, 2008, October 22, 2008, November 10, 2008, and November 18, 2008), calling him “fun” and “addictive.”
Comparing the Statistics - Boehlert notes that in January 2004, the Indianapolis Star published five letters to the editor about the MoveOn controversy. To date, it has not published a single letter about Limbaugh’s Nazi accusations towards Obama or Democrats. In January 2004, 28 of the nation’s largest newspapers published a total of 54 stories, articles, or letters about the MoveOn controversy. To date, that group has published a combined total of six stories about Limbaugh’s Nazi allegations. No paper has printed more than one story on the topic. In January 2004, the MoveOn-Nazi story garnered 300 percent more airtime on CNN than the Limbaugh-Nazi story has received. (Boehlert 8/11/2009)

Dr. Ezekiel Emanuel, a senior health care adviser in the Obama administration, rebuts claims that he is a “deadly doctor” who advocates wholesale euthanasia for America’s senior citizens (see July 23-24, 2009, July 28, 2009, and August 7, 2009). Emanuel, a medical ethicist, does not own a television or have an Internet connection and so remained unaware of the accusations about his medical beliefs for weeks. “I couldn’t believe this was happening to me,” he says. Both Emanuel and Time reporter Michael Scherer point out that Emanuel has worked throughout his career to oppose euthanasia and increase care for dying patients. “It is incredible how much one’s reputation can be besmirched and taken out of context,” Emanuel says. Scherer notes that the New York Post op-ed by Betsy McCaughey (see July 23-24, 2009) used “selective and misleading quotes from Emanuel’s 200 or so published academic papers,” and soon “went viral” on the Internet and among conservative opponents of health care reform. Scherer writes: “The attacks on Emanuel are a reminder that there is a narrow slice of Americans who not only don’t trust government, but also have come to regard it as a dark conspirator in their lives. This peculiar brand of distrust helps create the conditions for fast-moving fear-mongering, especially on complex and emotionally charged topics like the life and death of the elderly and infirm.” Scherer notes that throughout his career, Emanuel has wrestled with the ethics of medical care, often wading into horrific hypothetical situations such as how to choose who gets a single kidney if there are three dying patients in need of it and no way to procure two others. “No one who has read what I have done for 25 years would come to the conclusions that have been put out there,” says Emanuel. (Scherer 8/12/2009)

After briefly backing away (see August 10, 2009) from her earlier claim that the Democrats’ health care reform legislation would mandate so-called “death panels” (see August 7, 2009), former Governor Sarah Palin (R-AK) reiterates her claim. In a post on her Facebook page, Palin writes: “Yesterday President Obama responded to my statement that Democratic health care proposals would lead to rationed care (see August 11, 2009); that the sick, the elderly, and the disabled would suffer the most under such rationing; and that under such a system, these ‘unproductive’ members of society could face the prospect of government bureaucrats determining whether they deserve health care. The provision that President Obama refers to is Section 1233 of HR 3200, entitled ‘Advance Care Planning Consultation.’ With all due respect, it’s misleading for the president to describe this section as an entirely voluntary provision that simply increases the information offered to Medicare recipients.… Section 1233 authorizes advanced care planning consultations for senior citizens on Medicare every five years, and more often ‘if there is a significant change in the health condition of the individual… or upon admission to a skilled nursing facility, a long-term care facility… or a hospice program.‘… President Obama can try to gloss over the effects of government-authorized end-of-life consultations, but the views of one of his top health care advisers are clear enough (see July 23-24, 2009). It’s all just more evidence that the Democratic legislative proposals will lead to health care rationing and more evidence that the top-down plans of government bureaucrats will never result in real health care reform.” Members of Palin’s own party have called her claims inaccurate (see August 11, 2009) and “nuts” (see August 10, 2009), White House press secretary Robert Gibbs has identified Palin as one of the persons responsible for spreading “wrong” information about health care reform, and the Democratic Congressional Campaign Committee (DCCC) is using her claims in a fundraising plea to supporters, calling her statement “disgusting” and “outrageous.” (Barr 8/13/2009)

Two Democratic House members say that the media should not “glorify” the contentious, sometimes-riotous anti-reform protests that have recently occurred at health care debates (see June 30, 2009, July 6, 2009, July 25, 2009, July 27, 2009, July 27, 2009, July 31, 2009, August 1, 2009, August 1, 2009, August 2, 2009, August 3, 2009, August 3, 2009, August 3, 2009, August 3, 2009, August 4, 2009, August 4, 2009, August 5, 2009, August 5, 2009, August 6, 2009, August 6-8, 2009, August 8, 2009, August 10, 2009, August 10, 2009, August 11, 2009, and August 11, 2009). Alan Grayson (D-FL) cites the violence that occurred at a debate featuring Representative Kathy Castor (D-FL—see August 6, 2009), saying that the “disrepect” shown at the debate reflects badly not on Castor, but “on the people who show the disrespect for the democratic process.” He adds: “I think in any society, you’re always going to have a certain percentage of people who are nuts. But these are not people who deserve any special recognition, much less glorification. You don’t treat people the way those people treated Kathy Castor. It’s wrong.… I look for intelligent, well-founded criticism of any bill because that’s how you make the bill better. But if you have people running around saying this bill is going to kill every old person in the country (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 6, 2009, August 7, 2009, August 10, 2009, August 10, 2009, Shortly Before August 10, 2009, August 11, 2009, August 11, 2009, August 12, 2009, August 12, 2009, August 12, 2009, August 13, 2009, August 12-13, 2009, and August 13, 2009), how could you possibly show any respect for that silly point of view? It makes no sense to me.” Patrick Murphy (D-PA) says that the contention that the reform proposal threatens Americans’ freedoms is simply wrong: “I had a guy yesterday try to say to me, ‘You know, I’m worried about my freedoms.’ I say, ‘Sir, I fought for your freedoms [Murphy is a veteran of the Iraq war]. I’m going to protect those freedoms. I took an oath to support and defend those freedoms. And I take that responsibility very seriously. But, you know, we need to understand that the current path for small business, for everday families, for seniors, is unsustainable.” (US House of Representatives 2009; Terkel 8/15/2009)

An NBC/Wall Street Journal poll shows that the misinformation permeating the debate over health care reform is having an effect. Forty-five percent believe that the reform legislation pending in Congress includes “death panels” (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 6, 2009, August 7, 2009, August 10, 2009, August 10, 2009, Shortly Before August 10, 2009, August 11, 2009, August 11, 2009, August 12, 2009, August 12, 2009, August 12, 2009, August 13, 2009, August 12-13, 2009, August 13, 2009, and August 15, 2009), and 55 percent believe that illegal immigrants will receive government-funded coverage. These numbers are disproportionately higher among Fox News viewers: 72 percent believe the government will fund coverage of illegal immigrants, 75 percent believe in “death panels,” and 79 percent believe the reform bill will lead to a government takeover of the US health care system. Large minorities of other network viewers believe these same examples of misinformation. MSNBC’s Domenico Montanaro writes: “This is about credible messengers using the media to get some of this misinformation out there, not as much about the filter itself. These numbers should worry Democratic operatives, as well as the news media that have been covering this story.” (Montanaro 8/19/2009; Corley 8/19/2009) Another poll, from Public Policy Polling, shows that 39 percent of Americans want the government to “stay out of Medicare,” apparently unaware that the government funds, administers, and operates Medicare. The same poll shows that 38 percent of respondents do not believe President Obama is a natural-born American citizen; six percent don’t believe that Hawaii, Obama’s birth state, is part of the United States. The poll does not differentiate between Fox viewers and others. (Jilani 8/19/2009)

Betsy McCaughey is interviewed by Jon Stewart of ‘The Daily Show.’Betsy McCaughey is interviewed by Jon Stewart of ‘The Daily Show.’ [Source: Media Matters]Health care reform opponent Betsy McCaughey (see February 9, 2009, July 16, 2009, July 23, 2009, and July 23-24, 2009) appears on Comedy Central’s satirical news/comedy broadcast, The Daily Show. Host Jon Stewart devotes twice the usual amount of air time to interviewing McCaughey, and even then the interview is not broadcast in its entirety; Comedy Central posts the entire interview on its Web site. Stewart’s main interview tactic is to challenge McCaughey to prove one claim or another, such as her assertion that the health care reform legislation pending in the House would mandate “death panels” or “end-of-life” review committees; McCaughey then tries and fails to find language in the bill itself, and Stewart chastises her for spreading falsehoods. Late in the interview, Stewart calls McCaughey’s rhetoric “hyperbolic” and “dangerous.” (Comedy Central 8/20/2009; Comedy Central 8/20/2009; Media Matters 8/21/2009; Linkins 8/21/2009) He concludes by telling her, “I like you—but I don’t understand how your brain works.” (Koppelman 8/21/2009) In an analysis of the interview, The Atlantic’s James Fallows, who lambasted McCaughey’s 1994 arguments against the Clinton administration’s health care reform efforts (see Mid-January - February 4, 1994), says he realizes after watching the interview that “I have been far too soft on Betsy McCaughey. Even when conferring on her the title of ‘most destructive effect on public discourse by a single person’ for the 1990s. She is way less responsible and tethered to the world of ‘normal’ facts and discourse than I had imagined.” Fallows writes that McCaughey succeeds as well as she does in the interview by ignoring Stewart’s points and rebuttals, and echoing her assertions even after Stewart effectively rebuts or mocks them. (Fallows 8/21/2009) Days later, McCaughey will be removed from her position as a director of Cantel Medical Corporation, in part apparently due to her performance on Stewart’s show (see August 20-21, 2009).

Newsweek publishes an extensive article detailing what it calls “the five biggest lies in the health care debate.” Despite the title, the article actually debunks seven.
bullet The government will have electronic access to your bank accounts and steal citizens’ money (see (July 30, 2009) and After). The bill passed by the House Ways and Means Committee indeed calls for electronic fund transfers, but only from insurers to doctors and other providers. Patients are not involved in such transactions.
bullet You’ll have no choice in what health benefits you receive. This story seems to originate from a blog, Flecks of Life, which features a picture of President Obama made up as the Joker from the Batman films. The House bill provides for a “health care exchange,” including a list of private insurers and a single government plan, allowing people without health insurance to choose from the list. The government will prevent insurers from refusing clients with “preexisting conditions,” and require them to offer at least minimum coverage. However, Newsweek observes, “The requirements will be floors, not ceilings, however, in that the feds will have no say in how generous private insurance can be.”
bullet No chemo for older Medicare patients. Newsweek calls this a “vicious” rumor coming from the so-called “deather” camp (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 6, 2009, August 7, 2009, August 10, 2009, August 10, 2009, Shortly Before August 10, 2009, August 11, 2009, August 11, 2009, August 12, 2009, August 12, 2009, August 12, 2009, August 13, 2009, August 12-13, 2009, August 13, 2009, August 15, 2009, August 18, 2009, and August 23-24, 2009). The claim is that Medicare will refuse cancer patients over 70 years of age anything other than end-of-life counseling, including chemotherapy and other life-extending treatments. The claim, Newsweek says, “has zero basis in fact. It’s just a vicious form of the rationing scare.”
bullet [H]ealth-care reform will be financed through $500 billion in Medicare cuts. Again, nothing in the House bill or anything being considered in the Senate exists to back this claim. There are proposed decreases to increases in future Medicare funding, essentially reducing Medicare expenditures from the forecast of $803 billion by 2019. $560 billion would be removed from future Medicare increases over the next 10 years, and would not come from funds slated to provide actual care to seniors. And the House bill proposes increasing Medicare funding by $340 billion over the next 10 years. According to Medicare expert Tricia Newman of the Kaiser Family Foundation, the money would pay for office visits, eliminate copays and deductibles, and close the so-called “donut hole” in Medicare drug benefits.
bullet Illegal immigrants will get free health insurance. While a 1986 law allows illegal immigrants to receive free emergency care through emergency room clinics like everyone else in America, the House bill does not give anyone free health care. Illegal immigrants will not be eligible for subsidies to buy health insurance. In July, the House defeated a Republican-sponsored amendment to require anyone enrolling in a public plan or seeking subsidies to purchase health insurance to provide proof of citizenship. After the amemdment was defeated, Representative Steve King (R-IA) began spreading the false claims that since proof of citizenship would not be mandated, illegal immigrants would indeed be able to obtain government-funded health insurance. Newsweek writes: “Can we say that none of the estimated 11.9 million illegal immigrants will ever wangle insurance subsidies through identity fraud, pretending to be a citizen? You can’t prove a negative, but experts say that Medicare—the closest thing to the proposals in the House bill—has no such problem.”
bullet Death panels will decide who lives. So-called “death panels” form the heart of the “deather” claims that the government would mandate “end of life counseling sessions” that would encourage elderly and seriously ill patients to allow themselves to die. Newsweek calls the claim a “lie” that “springs from a provision in the House bill to have Medicare cover optional counseling on end-of-life care for any senior who requests it. This means that any patient, terminally ill or not, can request a special consultation with his or her physician about ventilators, feeding tubes, and other measures. Thus the House bill expands Medicare coverage, but without forcing anyone into end-of-life counseling.”
bullet The government will set doctors’ wages. This is another claim that seems to have originated on the Flecks of Life blog. Like the earlier claim, it is false. The House bill, according to Newsweek, “says that physicians who choose to accept patients in the public insurance plan would receive five percent more than Medicare pays for a given service, [but] doctors can refuse to accept such patients, and, even if they participate in a public plan, they are not salaried employees of it any more than your doctor today is an employee of, say, Aetna.” Amitabh Chandra of Harvard University says, “Nobody is saying we want the doctors working for the government; that’s completely false.” (Begley 8/29/2009)

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