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Profile: Amitabh Chandra
Amitabh Chandra was a participant or observer in the following events:
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.
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.
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.”
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.”
[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.
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.”
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.”
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.” [Newsweek, 8/29/2009]
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