Re: Fw: SENIOR DEATH WARRANTS
Posted by Thomas Nephew on 12th August 2009
I got one of the health care e-mails that have been ricocheting around the Internet yesterday. It was forwarded by a dear relative of mine, with the subject line “FW: SENIOR DEATH WARRANTS.” I’ve posted it on my Google Docs site — of course, without any identifying information, and without editing. I want to respond to various claims made in that e-mail.
Throughout the discussion below, I’ll link to relevant parts of proposed legislation to back up what I’m saying. I’ll usually be referring to the text of H.R.3200, also known as “America’s Affordable Health Choices Act of 2009″ — this is one of the main House bills. The link leads to an “all about H.R.3200″ web page at govtrack.us that enables links to very specific parts of the bill. However, readers with slow browsers or older computers may be better off consulting the text version of the bill.
Discussion
The email begins by recounting a conversation with a doctor:
| …He then asked how old I was, and when I replied 70, he said that if this legislation goes through as intended by the powers that be, that I probably would not be able to get [a cancer treatment] next year, as that would be money better spent on someone else with greater longevity. I would be referred to someone to “counsel” me. |
REPLY: FALSE. This and other parts of the e-mail appear to misconstrue Section 1233 (”Advance care planning consultation”) of the bill. As a fact sheet by Rep. Blumenauer summarizes,
The provision merely provides coverage under Medicare to have a conversation once every five years if – and only if – a patient wants to make his or her wishes known to a doctor. If desired, patients may have consultations more frequently if they are chronically ill or if their health status changes.
| I asked him why the AMA had recently endorsed the plan. He replied that only about 15% of the nation’s doctors were members of AMA, and most of them were not really on the front lines of doctorhood but in some other areas of medicine. [...] |
REPLY: NOT RESPONSIVE. It’s true that the AMA has endorsed a health care reform plan; given the organization’s opposition to health care reform in the past, that’s big news. The main reason, according to reporter Jeffrey Young of The Hill, is that the bill envisions a “permanent fix to a Medicare payment system that annually calls for doctors fees to be cut.”
This was potentially an expensive gift to doctors; so if the doctor is advocating keeping annual fee cuts intact, I’m right there with him.
| SENIOR DEATH WARRANTS: In England anyone over 59 cannot receive heart repairs or stents or bypass because it is not covered as being too expensive and not needed. |
REPLY: FALSE. First, while it’s too bad, no major health care reform bill advocates a health care system anything like England’s. But second, the statement is flatly wrong. Factcheck.org actually contacted the U.K. Department of Health and and an English nonprofit group advocating for older persons about this claim:
[A spokesman] said medical procedures in the U.K. are not routinely denied for older people. The National Health Service, the U.K.’s public health care service, has a constitution which prohibits discrimination on the basis of age and other factors. “The NHS Constitution states that the NHS provides a ‘comprehensive service, available to all irrespective of gender, race, disability, age, sexual orientation, religion or belief,’ “ the spokesman said.
We also contacted a nonprofit group, England’s Age Concern and Help the Aged, which works to stop age discrimination in various facets of life, including employment and health care. Age Concern’s press office had never heard of any kind of prohibition on heart surgery for those 60 and older.
| Obama wants to have a healthcare system just like Canada ’s and England ’s. |
REPLY: SADLY, NO. First, it would be impossible to have a healthcare system “just like Canada’s and England’s” because they have different systems. Canada has a “single payer” health care system, in which health care costs are negotiated between health care providers and the government or an independent agency — a kind of “Medicare for all” instead just for older persons. Another country with a successful kind of single payer health care system is France — according to that left wing magazine Business Week.
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