In Midst Of Firestorm Over "Death Panels," Senate Finance Committee To Eschew End Of Life Counseling
Less than a day after Sen. Chuck Grassley (R-IA) validated cooked-up fears that Democratic health care legislation would create "death panels," it appears, according to the Wall Street Journal, that the Senate Finance Committee will not be including a provision to reimburse Medicare doctors who provide end-of-life counseling to dying patients in its bill.
Grassley is the Finance Committee's ranking member, and one of six senators on the panel working to craft a bipartisan health care bill.
Until a few days ago, the measure--which is included in House legislation--was completely uncontroversial. But with opponents desperate to undermine support for health care reform, high profile Republicans are now equating it to "pulling the plug on grandma," reaffirming the fears of misinformed protesters who are lashing out at this and other misconceptions at health care town halls across the country.


















Reid needs to tell the Senate Finance Committee that they can report out any damn foolish bill they want and it's going straight into the wastebasket. The full Senate is under NO obligation to include it into any legislation.
August 13, 2009 12:01 PM | Reply | Permalink
What would be accomplished by Reid telling them that?
Making the Harry-haters in the liberal commentosphere happy? Well that'll never happen. Nothing he ever does will ever make them happy. It's well known that he's the actual source of every impediment to our agenda in the Senate, not institutional rules or the Constitution.
Get a bill passed by Congress? Sorry, you're gonna have to connect the dots for me.
August 13, 2009 12:37 PM | Reply | Permalink
Because the reality is this bill is going to actually be written in conference committee and it's Reid and Pelosi who get to appoint the members. All this yammering is just hot air. Just pass whatever damn thing you want if it gets us closer to the conference committee.
August 13, 2009 1:05 PM | Reply | Permalink
Except if a chamber passes a certain provision, their conferees can use it as leverage in a conference committee.
August 13, 2009 2:18 PM | Reply | Permalink
All the necessary provisions will be in the House version. You don't need "leverage" to include something everybody involved wants included anyway.
August 13, 2009 2:25 PM | Reply | Permalink
Except I can see Joe Lieberman, Ben Nelson, and others saying to conferees Chris Dodd, Max Baucus, Charlie Rangel, etc. that certain provisions will be filibustered by the Senate, and Max Baucus having a sympathetic ear to that. There's only so much you can alter a bill.
I just hope the House is willing to accept the Senate's revenue raising provisions (i.e., taxing employer-provided health benefits), and the Senate is willing to accept the House's federal Exchanges and more generous consumer protections and subsidy levels.
August 13, 2009 2:59 PM | Reply | Permalink
What really needs to be done is to strip Max Baucus of his committee chair. It's ridiculous that despite the Democratic supermajority, Senate seniority rules result in a DINO like Baucus having effective veto power over health care reform.
August 13, 2009 4:39 PM | Reply | Permalink
What the hell is going on w/ the these complete idiots/ the only fire storm rests with the incompetence of these twerps!
Why are these people in power to guide us down the toilet bowl of political insanity!
I urge all of these fools to obtain end of their political life counseling in time for their next election!
August 13, 2009 12:13 PM | Reply | Permalink
You know, in light of this provision being promoted by a republican originally I really think it was a political set up to launch this firestorm. Dropping it makes sense and is a good idea. Doctors will always give this advice anyway and can bill it as a normal consultation. Dropping it makes complete sense and will shut up the wingnuts. Let them try to find something else to whine about.
August 13, 2009 12:19 PM | Reply | Permalink
It won't shut up the wingnuts. It will be taken by them as a tacit admission that they were correct in their crazy interpretation of what this provision does. Only a policy wonk would believe that scrapping the provision that leads to the death panels criticism will actually end the death panels criticism. Instead, they will just focus more on Dr. Emmanuel and MedPAC. The brutal con job that Sarah Palin has done against this legislation is awful, but the politics of scrapping it will be worse.
Also, this provision is extremely good legislation, better for individuals, for families, for taxpayers, for everybody. Fuck Sarah Palin and Grassley and Gingrich and all the other assholes who have been attacking this. Democrats would do better standing up for what is right and explaining it to the American people than giving up this fight.
August 13, 2009 2:51 PM | Reply | Permalink
This piece is from the WSJ so take with caution - they have every intention to malign any health care bill this year. I'd like to see further confirmation from other sources.
Brian, can you confirm this with Sens. Schumer, Rockefeller, etc?
August 13, 2009 12:19 PM | Reply | Permalink
You know what? Fine. No end of life counseling. its a tenth of a tenth of one percent of what we're trying to accomplish. People can pay for their living wills out of their own pockets. Doctors can check another box on the claim form when they discuss end of life options with their patients.
There. You saved Grandma from the government mandate to smother her to death with a pillow if the catches a cold. You win, Republicans. Yay for you.
Can we pass the fucking bill now?
August 13, 2009 12:19 PM | Reply | Permalink
Cosign. Let's pass the f'n bill now.
August 13, 2009 12:21 PM | Reply | Permalink
I agree - take it out and move on. Yes, it sucks to give into right wing idiocy, but this is just not that important and removing it robs them of a talking point. I feel that same way about abortion, impotence drugs, etc. Leave them out and don't risk letting reform become a victim of the culture wars.
The focus needs to be on major medical costs. That is what is bankrupting families and causing so much misery. As annoying as it is to give in, we need to let go of smaller issues that give the right an opeining to tie this to the culture wars.
August 13, 2009 2:59 PM | Reply | Permalink
Actually it's the Independent Medicare Advisory Council that is the death panel. That would be the bureaucracy that determines what treatments you're allowed to what age.
August 13, 2009 12:20 PM | Reply | Permalink
Bullsh*t as always. Go play with lush whacko.
August 13, 2009 12:30 PM | Reply | Permalink
Funny how no one's been up in arms about it before.
It's all bullshit and you know it. Bull shit.
August 13, 2009 12:31 PM | Reply | Permalink
What they said. And even if you were right (which you are not and which would be a first here), who's doing it now? How would it be worse for guvmint byew-ra-crits, whose decisions can be changed by Congress and are thus responsive to political pressure, to be making the call on what medical treatments get than insurance company bureaucrats who are responsive only to their executives and their stockholders demand for profit?
August 13, 2009 12:44 PM | Reply | Permalink
Exactly! And if you actually know of an insurance company that doesn't have "death panels", guess what? You can CHOOSE to buy insurance from them!
August 13, 2009 1:01 PM | Reply | Permalink
People aren't complaining about end of life counseling the are complaining about Death Panels! Which aren't in the bill, thus can't be taken out. Jeebus when are Democrats going to wake the fuck up!
The Wing-nut noise machine found scary terminology that worked for them and ran with it. Good grief one of theirs put counseling in the figgin bill!
So wimpy Democrats fold take something out that doesn't exist, and the Noise machine moves down their list of Scary phrases, finds the next one that works and the process starts all over again.
The goal is to kill health care no matter whats in it. If the put an empty piece of paper on the floor of the Senate called it health care reform, EVERY SINGLE REPUBLICAN THERE WOULD VOTE AGAINST IT!
August 13, 2009 2:25 PM | Reply | Permalink
There IS no "Independent Medicare Advisory Council" in the bill. You may be referring to the existing Medicare Payment Advisory Commission (MEDPac), which is a congressional advisory commission that has no regulatory authority. It's not a bureaucracy -- it just gives advice to Congress on medicare.
Or perhaps you are talking about "health benefits advisory committee" -- this actually IS in the bill and is a new entity. But all it does is advise on what should be covered by insurance. Again, not a bureaucracy, just a public-private advisory committee making recommendations in a public forum for decisions that are currently made in private boardrooms by people whose livelihood depends on not paying when people most need coverage.
August 13, 2009 2:36 PM | Reply | Permalink
Headlight's comment about the various panels or committees and what they do and don't do was very informative and the kind of discourse that should be, but isn't, going on in the health care "debate." Moreover, the point he/she and others made about private health insurers making decisions about what care to pay for is probably not understood by the wingnuts. My cardio wants me to have a stress test every year, but the ins. co. says every other year is enough. I guess I should go to a town meeting a rail about socialized medicine taking away the ins cos. "freedom" to deny me care.
Moreover, about 30% of the population (over 65, veterans and military) already have govmint healthcare, and I don't hear many of those folks asking to switch (if they could under the current regime. Nevertheless, many of the over 65s are yelping about govmint-run healthcare and how their freedom is being taken away. It is hard to believe that the corporate interests can be so successful in working people up into such a lather over such utter nonsense.
August 13, 2009 3:08 PM | Reply | Permalink
I don't see this as being essential to reform and I have no problem with dropping it. However, I do have a problem with dropping because a bunch of lunatics, fully supported by GOP elected officials, think it's secret plan to euthanize old and disabled people. If the reason for dropping it was because it was too costly even if it was beneficial that would be one thing. Or, for example, dropping coverage for abortions because some people/providers may object to it on religious grounds, even though it is a legal procedure. But to drop it because a bunch of maniacs and ignorant people think it is something that it is not. I'm not crazy about that. We shouldn't be handed the wackos a win on this. Then again, if it helps to get a decent reform bill passed, well, then, we've defeated the wackos because they don't want anything to pass.
August 13, 2009 12:24 PM | Reply | Permalink
And Teh Stoopid wins again.
sigh
August 13, 2009 12:30 PM | Reply | Permalink
Instead of just dropping it from the bill, why not go one better. How about attacking Isakson specifically for inserting that provision in the first place? Just launch a full-blown attack (disingenuous as all hell, mind you) against a Republican Senator for proposing that we snuff Grandma. Then we can hang Isakson in effigy and tar and feather the entire Republican party for the Nazi octogenarian-murderers that they are.
Pitchforks ready everyone?
August 13, 2009 12:34 PM | Reply | Permalink
Foolish -
Here's a good read on the hypocrisy of opponents of end of life support - Newt Gingrich a lying liar
http://trueslant.com/matttaibbi/2009/08/12/newt-gingrich-changes-whats-left-of-his-mind-on-end-of-life-care/
August 13, 2009 12:44 PM | Reply | Permalink
So now that the Senate is removing this largely anodyne provision does that mean all the protesters screaming about death panels will stop?
August 13, 2009 12:49 PM | Reply | Permalink
Nope, they'll get new marching orders and new scary phases to use. The fun will continue.
August 13, 2009 2:30 PM | Reply | Permalink
What a bunch of weiners
August 13, 2009 12:53 PM | Reply | Permalink
We need to get a bill out - any bill. Take care of this bullshiesst in conf.
Shut down the Circus Baucus NOW
August 13, 2009 12:55 PM | Reply | Permalink
Btw, while were getting our rant on over this, Sen. Crankytwit said something a hell of a lot worse than just endorsing the Deather view, at least in terms of the continuing myth that he is in any way acting in good faith:
My emphasis.
Hear that Max? Do you grasp the import of what your "partner" in "bipartisanship" is saying here? He won't vote for it. He's not really negotiating with you and, no matter how much you give away to him, he won't vote for a bill that a majority of the majority--you know, your party, the Democrats--can stomach.
http://www.washingtonmonthly.com/archives/individual/2009_08/019470.php
August 13, 2009 1:01 PM | Reply | Permalink
Unfortunately, since the repuke party is down to a southern rump party playing to a whacko base folling the lush's of the world, "bipartisanship" is non-existent. The "bipartisanship" now is trying to get the blue dogs on board with reform and f*k the repukes. They will be dead as a party in 4 to 6 years.
August 13, 2009 1:04 PM | Reply | Permalink
Everybody with a functioning brain gets it. The R's will be monolithic voting against whatever bill they put up. Their greatest fear is not death panels, but that Obama and the Democrats will be successful in passing something that will actually help people. They know damn well that if that happens they will be down to an even smaller minority.
If there is anyone who doesn't see this I wonder what game they've been watching.
August 13, 2009 1:10 PM | Reply | Permalink
WWF.
August 13, 2009 1:39 PM | Reply | Permalink
Gee, I guess Grover Norquist was right (that'd be a first) - bipartisanship really is date rape.
August 13, 2009 3:34 PM | Reply | Permalink
Disgusting. All you have to do is crank up the right-wing lie machine and blare that water isn't wet, and a bunch of Congressmorons will obediently introduce a bill declaring that water is dry. This country is so fucked.
August 13, 2009 1:08 PM | Reply | Permalink
I find it both shameful and cowardly that Senate Democrats on the Finance Committee would drop an otherwise perfectly reasonable legislative provision because the unhinged fringe that constitutes the GOP's far white-wing throws a public tantrum over its own purposeful misrepresentation of said provision.
August 13, 2009 1:21 PM | Reply | Permalink
This is why we need to ignore Max's committee because, again for the millionth time, the Republican Party is very much the party of the tea-baggers. There are no moderates left. So, relying on the GOP for votes, when there are 40 of them, isn't very smart. My hunch, though, is that Collins, Snowe and even someone like Voinovich are not lost causes. We'll see, though.
August 13, 2009 1:38 PM | Reply | Permalink
How is this for killer right wing logic?
Proof that abortions are in the health care bill, is that abortions are not in the health care bill.
Here is the clip:
http://progressnotcongress.org/?p=2520
August 13, 2009 1:50 PM | Reply | Permalink
Max Baucus is THE CAVE-IN ARTIST!
So General Grassley says he won't vote for any bill that doesn't have 'broad support of the Republican Party'. Talk about not having a negotiating partner.
August 13, 2009 1:58 PM | Reply | Permalink
Idiots. They scream and throw conspiracy theories and lie, and you let them win. This is just going to make them scream harder, because now they can see it's working.
August 13, 2009 2:06 PM | Reply | Permalink
It's like Sarah Palin says 'jump!' and the Senate says 'how high?'. All the RW needs to to do is make some insane assertion, get it repeated ad nauseum in the M$M, then the idiot squads, naturally, buy it hook line and sinker -- the more absurd the better -- they go yell at a small number of congress critters and . . .voila! End of reform effort. This is the power of the "bully pulpit.'
August 13, 2009 2:06 PM | Reply | Permalink
As I said elsewhere...
So if Medicare pays for hysterectomies, that means everyone has to get one? That means some 'government bureaucrat' is going to be empowered to tell you and your wife, your sons and your daughters, 'go out and get a hysterectomy or else'?
August 13, 2009 2:19 PM | Reply | Permalink
LOL. I love it. You've captured the screwball logic perfectly.
August 13, 2009 2:30 PM | Reply | Permalink
Reporters should ask each congress person,
"Do you have a living will or advance health care directive?"
"Are you in favor of/opposed to other Americans having one?"
August 13, 2009 2:23 PM | Reply | Permalink
Good; remove it. It can be a stand-alone bill one all this fake furor has passed. Any fear-based idiots can focus on something else in the bill they don't like. Oh, right, which bill?
August 13, 2009 2:26 PM | Reply | Permalink
Are they crazy? Take away a perfectly good proposal because of the right-wing bashers? Does Reid think they won't just move on to something else in the Bill? This is a perfect example of the problem with Democratic Leadership these days. Even in the days of Felix, Vavoom wouldn't cave so quickly!
August 13, 2009 2:43 PM | Reply | Permalink
how in the hell do 6 knucklehead senators representing less than 3% of the population get to decide how our health care is going to be provided.
The senate is a greater reminder than the 2000 election that we are a republic, not a democracy.
We don't need to bring democracy to Iraq, we need to bring it here.
August 13, 2009 2:58 PM | Reply | Permalink
how in the hell do 6 knucklehead senators representing less than 3% of the population get to decide how our health care is going to be provided.
The senate is a greater reminder than the 2000 election that we are a republic, not a democracy.
We don't need to bring democracy to Iraq, we need to bring it here.
August 13, 2009 2:59 PM | Reply | Permalink
I swear to dog that I only submitted once
August 13, 2009 3:00 PM | Reply | Permalink
Of course they'll take it out. They are cowards. Instead of leading the pack and explaining the section about advance directive counseling, they are cowering behind closed senate doors fearful of the rabble rousers' mobs.
What they should do is make it an option for all ages. It's not just old people who need to provide directives on end of life care. Remember Terry Schiavo?
August 13, 2009 3:12 PM | Reply | Permalink
Amid "Socialized Medicine" talk, the Senate Finance Committee scraps health care reform.
August 13, 2009 3:33 PM | Reply | Permalink
Amid fluoridation scare, Senate scarps plans for public water supply.
August 13, 2009 3:47 PM | Reply | Permalink
First we let them turn the inheritance tax into the 'death tax', now, out of fear of the same thing, we have let them turn end of life counseling into 'death panels'. Get a grip and use some common sense. It's a necessary and vital service. It doesn't mean euthanasia. It's counseling. It just means when is enough, enough, and when is the time to just let go. Having spent time at hospitals with a elderly family members, I've seen how difficult it is to get a simple discussion such as a DNR, and a proxy clearly understood. I've seen people fail to understand the difference between 'on life support, with tubes sticking out of my body', and a simple IV with post operative medication. Counseling is exactly what's needed
August 13, 2009 4:03 PM | Reply | Permalink
Oh for God's sake! We wouldn't want to have to do all that hard work that's required if one is to debunk lies, would we? Guess we better let that 2010 "Death Tax" repeal stand while we're at it, and give up on every other battle where explaining the facts is just too difficult.
August 13, 2009 4:10 PM | Reply | Permalink
Max Baucus should be ashamed of himself. This is terrible that such complete fruitcakes can drive federal legislation.
And, again, why is the SFC committee working on this split 50-50?!?! It should be 4-2 reflecting the makeup of the Senate.
But, nooooooooo, Democrats insist on being dupes for Republicants. Republicants would NEVER allow such a thing to happen.
The Stupid. It burns.
August 13, 2009 4:37 PM | Reply | Permalink
If you think health care reform is fun, just wait until the Senate starts to destroy the watered down cap & trade legislation passed by the House. Then you will really see what a bunch of lily livered weenies the Senate Dims are.
End of life counseling is nothing compared to the end of the world, but stopping the death of billions (yes with a "b") from climate change will also be beyond the abilities of Reid, Baucus et al.
August 13, 2009 5:00 PM | Reply | Permalink
Personally, I don't like the cap and trade concept. I'd prefer to just cap emissions, with no trade aspect included.
August 13, 2009 7:16 PM | Reply | Permalink
All right. Passing it quickly didn't work. Now it is time to slow it down and sound out every syllable until the batshit crazy bastards have to own up to the lying and the stupidity they have been relying on to dilute this bill into something that won't do anything but send taxpayer money to the insurance and drug companies.
To take out this provision because Palin can't read would be a travesty.
Health care is a right. Capitalism has its place, but it's not everyplace and it's not here. FDR is not proud tonight.
August 13, 2009 5:14 PM | Reply | Permalink
As someone who's family has had to dealt with end of life issues twice, both parents, I can say this with complete sincerity to the GOP demagogues:
I used to think that no one should ever have to got through what my family went through, I think I may make an exception for anyone that thinks they can exploit this issue for political gain.
Either that or they can rot in hell.
August 13, 2009 6:16 PM | Reply | Permalink
TAKING IT OUT DOES NOT MATTER TO THE WINGNUTS. THEY'LL FIND SOMETHING ELSE IN THE BILL TO FRIGHTEN THE UNINFORMED, AND STORM THE TOWNHALL MEETINGS. IT's not about Healthcare. It's about Obama being President.
I could "understand" jerks like Limbaugh, Hannity and Beck pushing the lie, but to see a Senator like Grassley parroting that line was a dissapointment, I admit that I was foolish enough to think that Senators were above such vile propaganda---but I was mistaken.
August 13, 2009 6:19 PM | Reply | Permalink
The entire "death panels" controversy is only one symptom of a much larger problem: The complete lack of moral leadership at the top.
While Obama makes all his seedy inside deals with drug companies and other corrupt corporate insiders, and while he goes around trying to sell reform as a cost saving measure to people who already have medical insurance (and they're not really buying it anyway), he's forgotten the main point. That providing every American citizen with basic health care is a fundamental right - not a privilege - that has too long been denied millions of Americans. He has ceded the moral high ground to the far right, who then will naturally rush in with a moral argument of their own, even if they are based in a lie, as in the "death panel" argument.
Look. The Last time we had a democratic president who passed significant progressive legislation was LBJ - who also passed Medicare. A lot is made about Johnson's ability top wheel and deal and push things through Congress. But very little is said about his populist instincts and how he sold Medicare to Congress and the country. This is LBJ in his own words:
Johnson: My reason though is not because of the economy. . . . my reason would be ... That they are entitled to it. That's an obligation of ours. It's just like your mother writing you and saying she wants $20, and I'd always sent mine a $100 when she did. I never did it because I thought it was going to be good for the economy of Austin. I always did it because I thought she was entitled to it. And I think that's a much better reason and a much better cause and I think it can be defended on a hell of a better basis. . . . We do know that it affects the economy. . . . it helps us in that respect. But that's not the basis to go to the Hill, or the justification. We've just got to say that by God you can't treat grandma this way. She's entitled to it and we promised it to her."
It seems to me that Obama is not making that kind of argument now. He's certainly giving us a lot of practical arguments as to why it needs to be done and why it would help the economy. But he is not making and selling the most crucial argument of all: THAT IT'S THE RIGHT THING TO DO. He has effectively ceded the moral high ground, and that's why all the liars on the right have rushed in pretending that they want to save grandma from Obama.
August 13, 2009 6:23 PM | Reply | Permalink
This makes me so angry I can't even see straight. Allowing this to be taken out is the same as giving the finger to the people out there like me who have been working to set the record straight on the health care bill. Now all the right-wing loons are going to be trumpeting, "see, they took it out; obviously it was a terrible/evil provision just like we said." And then that does damage to passing the rest of it because, guess what, they've got a frickin' list of fictionalized nonsense that's supposedly in the health care bill.
All that taking the provision out does is make people like me give up on trying to support the passage of the bill by countering falsehoods. But, hey, at least now you'll get the support of those who were scared of death panels... oh, wait, they weren't going to support it no matter what. Morons.
August 14, 2009 2:02 AM | Reply | Permalink