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Context of 'January 26, 2005: Congressman Urges US to Prepare for Major Hurricane in New Orleans'

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Speaking before his colleagues in the House of Representatives, Rep. Earl Blumenauer (D-LA) expresses concern about what would happen if a large hurricane were to hit New Orleans. “What would have happened if last September, Hurricane Ivan had veered 40 miles to the west, devastating the city of New Orleans? One likely scenario would have had a tsunami-like 30-foot wall of water hitting the city, causing thousands of deaths and $100 billion in damage. The city has always been at risk because of its low-lying location, but that risk has been increased because of rising sea levels, groundwater pumping and the erosion of coastal Louisiana. Twenty-four square miles of wetland disappear every year, since the 1930s an area one and a half times the size of Rhode Island washed away. Considering the reaction of the American public to the loss of a dozen people in the recent mud slides in California, it is hard to imagine what would happen if a disaster of that magnitude hit the United States. The experience of [the December 2004 tsunami that hit] Southeast Asia should convince us all of the urgent need for congressional action to prevent wide-scale loss of life and economic destruction at home and abroad. Prevention and planning will pay off.” [US Congress, 1/26/2005]

Entity Tags: Earl Blumenauer

Timeline Tags: Hurricane Katrina

House Minority Leader John Boehner (R-OH) and Representative Thaddeus McCotter (R-MI) issue a statement that warns the Obama administration’s health care reform proposal would provide for “government-encouraged euthanasia” of senior citizens. Boehner and McCotter’s statement reads: “Section 1233 of the House-drafted legislation [HR 3200, the most recent version of the reform proposal] encourages health care providers to provide their Medicare patients with counseling on ‘the use of artificially administered nutrition and hydration’ and other end of life treatments, and may place seniors in situations where they feel pressured to sign end of life directives they would not otherwise sign. This provision may start us down a treacherous path toward government-encouraged euthanasia if enacted into law. At a minimum this legislative language deserves a full and open public debate—the sort of debate that is impossible to have under the politically-driven deadlines Democratic leaders have arbitrarily set for enactment of a health care bill.” Boehner and McCotter also state that the reform bill would encourage state-assisted suicide: “With three states having legalized physician-assisted suicide, this provision could create a slippery slope for a more permissive environment for euthanasia, mercy-killing, and physician-assisted suicide because it does not clearly exclude counseling about the supposed benefits of killing oneself. Health care reform that fails to protect the sanctity and dignity of all human life is not reform at all.” [House Republican Leader, 7/23/2009] The next day, McCotter will add: “This is very dangerous. We, in Michigan, have already fought back in attempted assisted suicide several years ago. And yet you see that the people who support this are trying to use this bill to advance this agenda.” [MSNBC, 7/29/2009] The statement is quickly challenged by Representative Earl Blumenauer (D-OR), who with Representative Charles Boustany (R-LA) introduced a separate bill that would provide for end-of-life consultations for senior citizens. Both bills propose nothing more than having Medicare pay for such consultations, if the patients or the patients’ families desire them. “I cannot tell you how disappointed I was to see this type of reaction to a carefully crafted piece of legislation we have been working on for more than six months that is bipartisan and that speaks to the needs of American families,” Blumenauer says. “The American public, especially our senior citizens, deserve our best efforts to meet their needs—not treat them like political footballs.” A Boustany spokesman says the congressman stands behind the measure he co-authored, but says it should include language stating that taxpayer money would not be used to counsel patients on physician-assisted suicide. Two states—Oregon and Washington—allow physician-assisted suicide in certain situations, and the Montana Supreme Court is considering a lower-court ruling that found physician-assisted suicide to be a right under Montana’s Constitution. [Politico, 7/28/2009] Liberal media watchdog organization Media Matters calls the statement’s analysis “repulsive.” [Media Matters, 7/24/2009] The characterization of the bill by Boehner and McCotter will be disproven by a St. Petersburg Times analysis (see July 23, 2009).

Entity Tags: St. Petersburg Times, Obama administration, John Boehner, Charles Boustany, Thaddeus McCotter, Media Matters, Earl Blumenauer

Timeline Tags: US Health Care, Domestic Propaganda, 2010 Elections

Representative Earl Blumenauer (D-OR), who co-authored the provision in the House health care reform legislation mandating that Medicare would pay for periodic “end-of-life” counseling sessions between patients and doctors, releases a fact sheet called “Myth vs. Fact: Advance Planning Consultations in HR 3200” (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). Blumenauer writes: “Few areas are more vital for honest discussion and careful consideration than end-of-life care for America’s seniors. Unfortunately, families often do not know their loved ones’ preferences for end-of-life care and are not confronted with these difficult decisions until an emergency arises. This leaves spouses, sons, daughters, and grandchildren unprepared; as a result families struggle to make decisions in the midst of turmoil. The House health care legislation includes a provision (Sec. 1233) that provides seniors with better care as they grapple with these hard questions. This provision extends Medicare coverage to cover the cost of patients voluntarily speaking with their doctors about their values and preferences regarding end-of-life care. These are deeply personal decisions that take thoughtful consideration, and it is only appropriate that doctors be compensated for their time.” He then corrects three “myths” surrounding the provision:
bullet Myth: Patients will be forced to have this consultation once every five years. In reality, he writes, such advance planning consultations are entirely voluntary; the provision mandates that Medicare will pay for one such consultation every five years if the patient chooses. Under certain circumstances, Medicare will pay for more frequent consultations.
bullet Myth: Patients will be forced to sign an advance care directive (or living will). Blumenauer writes that no such mandate exists in the legislation, or is being contemplated. Like the advance planning consultations, living wills are entirely voluntary.
bullet Myth: Patients will have to see a health care professional chosen by the government. The government will not choose any health care professionals for anyone. If a patient chooses to have an advance planning consultation, it will be with a doctor of his or her choosing.
Blumenauer notes that the following organizations have endorsed his provision: the American Association of Retired Persons (AARP), the American Academy of Hospice and Palliative Medicine, the American College of Physicians, the American Hospice Foundation, the Center to Advance Palliative Care, Consumers Union, Gundersen Lutheran Health System, the Hospice and Palliative Nursing Association, Medicare Rights Center, the National Hospice and Palliative Care Organization, the National Palliative Care Research Center, Providence Health and Services, and the Supportive Care Coalition. [US House of Representatives, 7/2009 pdf file; Politico, 7/28/2009]

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