What a quote! Some have responded with an emphatic, “Yeah!” Others with a confused, “Huh?” The Republican Congressman who wrote the bill simply said “nuts,” but that has not ended the discussion. As I read conservative blog sites today, such as Sam Pierce for the Chicago Daily Observer, one of the common themes in support of Palin’s right to dishonor American soldiers while she “makes stuff up” was that there is nothing wrong with “anticipating the implications of legislation.” Hmmm. If it’s ok to anticipate potential implications from legislation, is it also ok to acknowledge real implications that currently exist? Conservatives have decried a fictional government panel that would decide whether people are worthy of health care. The premise of the argument is that nobody should have the right to decide what kind of care humans receive. But what about the “death panels” that already exist? Conservatives hate the idea of the government deciding, but they certainly seem to be fond of the current decision making process. There are already “death panels” at work all over America, ensconced in the hushed offices of the nation’s $2 trillion health insurance industry. The existing system sends one million people a year into an abyss of no insurance. There are decisions being made every day by private companies to refuse needed health care for “pre-existing conditions.” Such decisions are being made constantly, and the conservative right supports the process, refusing to acknowledge the reality of the current system. So how about a little reality? How do the current “death panels” impact people’s right to health care and life? According to the Center for Health Statistics, Hispanic children were twice as likely as black non-Hispanic children and three times as likely as white non-Hispanic children to be without health insurance coverage. Black children are nearly twice as likely to lack health insurance coverage as white children. This means preventive care, dental care, all that Sarah’s children enjoy on a daily basis, is not accessible to others. Someone is making decisions. Another study, published in the New York Times, looked at survival rates from traumatic injuries to adults. The study noted that “after controlling for severity of injury and other factors, they found that compared with whites, African-Americans had a 17 percent increased risk of death and Hispanics a 47 percent increased risk of death.” This is not tooth care, this is life and death. Decisions are being made, and somehow this is acceptable? I do not want to go “Glen-Beck” and call out the conservative right as “racist.” But I do want to point out that Sarah Palin’s right to protect her “child with Down Syndrome” from a fictional death panel is an eerie mirror image to a Hispanic mother’s right to protect her child from the real thing. If you want to be “pro-life,” you can’t be just about your life, or the life of your children. Hispanic children, black children, people who are urban, suburban or country, it does not matter. No one should be denied care, and death panels should not exist. Health care reform is urgent, for the very reasons that Sarah Palin is afraid of it. |

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You might want to take a look at abstracts from a couple of additional studies also chronicled in the Archives of Surgery (the source for the 2008 New York Times article you mentioned):
http://archsurg.ama-assn.org/cgi/content/abstract/143/11/1057?maxtoshow=...
http://archsurg.ama-assn.org/cgi/content/abstract/144/1/14?maxtoshow=&HI...
They point to additional factors affecting medical outcomes, including:
-The quality of care in inner city medical facilities
-Cultural differences that may affect patient decisions and follow-up.
All too often we point to race when we should be talking about culture and socioeconomic context.
Thanks, Mike! Sorry I have not yet checked out the sites, but will try to tonight. Always glad to hear your thoughts.
Thanks, Mark. You're very gracious.
This article from the Wall Street Journal on the VA gives another sobering look at concerns about discussions of end of life issues:
http://online.wsj.com/article/SB1000142405297020468320457435859010798171...
"So how about a little reality? How do the current “death panels” impact people’s right to health care and life? According to the Center for Health Statistics, Hispanic children were twice as likely as black non-Hispanic children and three times as likely as white non-Hispanic children to be without health insurance coverage. Black children are nearly twice as likely to lack health insurance coverage as white children. This means preventive care, dental care, all that Sarah’s children enjoy on a daily basis, is not accessible to others. Someone is making decisions."
I am sorry, but this is a meaningless comment without context. It is also an irrational appeal to emotionalism so common in today's anti-itellectual environment. The fact that Hispanic children are 2 times as likely as white people not to have health insurance is meaningless. What is meaningful is that most of those people are not citizens of the United States.
You are playing the class warfare card and it makes me very sad (typical of liberals). What is very simple is that there would be panels that would decide whom gets care and whom does not. That is a fact that is in the healthcare bill, is present in ALL other countries that provide socialized medecine and is admitted by honest proponents of a single payor system (Dr. Emmanuel). Have you read the healthcare bill? Guess what, my company (I own it) has because it will directly affect my clients and the types of investments we purchase.
It is also very simple, Medicare and Medicaid are bankrupt and are going to push the Unitied States into a massive crisis over the next 20 years. You can pretend that this is not going to happen, but it is. If we attempt to cover all the citizens that are not covered, we will accelerate that death march dramatically. The taxes that we are going to have to impose on businesses and people will lead to permanent double digit unemployment (like all other socialized countries). This will lead to lower paying jobs and a flight of more businesses out of the United States.
I believe you are a professor of business. I manage more than $100m dollars, have a CFA, ChFC, RIA, MBA, ect for my company. I work with the Biotech industry, Construction industry and manufacturing industry. When Cap and Tax was proposed, one of the firms I work with that makes forms, decided to pack it in and move their business to China. Once Massachusetts went to (FAILED) universal health care (that was supposed to cut costs, supposedly said people were already paying all the costs through ememrgency room visits), a number of my biotech companies packed up and started transferring (a number now gone) to NC (Research Triangle).
Once universal care goes through, taxes are going to skyrocket, businesses are going to be less competitive, there will be permanent high unemployment, fewer doctors (they are already scare cue to Medicare which cuts their reimbursements and the insurance companies which are in bed with the govt) and significantly more misery. A free market system produces the best medical care and the most opportunity. I recommend you revisit history and Milton Friedman.
Dan
Dan, I'm not sure if I should even respond to your comment. While you have incredibly impressive credentials, which you are deeply careful to list, it's hard for me to take you seriously when you write "typical of liberals."
Really, Dan. We will never get anywhere with that. If I made any point that did make sense, you would not care, you are just trying to craft a way to refute it because you disdain "liberals," ie. people you don't agree with. Was hoping for a healthy discussion, not the creation of simple minded boxes.