Sunday, August 30, 2009

Death Panels

Some have said that the phrase DEATH PANELS was a silly attempt to scare the daylights out of the public. The real problem is that it was immediately paired with a provision in the bill for end of life counseling. That muddied the water to where no one knows what anyone is talking about. Good trick for the media.

End of life counseling is not the provision that will cause the mass death of older folks with expensive illnesses. It will actually help them deal with things when that happens. The real problem comes from a provision for a study of "comparative effectiveness". Initially this will be a data gathering panel that will publish statistics on the cost and results (in terms of additional months or years of life) offered by many possible treatments. There are a bunch of problems with this.

First is the usual issue with anything done by government. It will not be updated very frequently and will not include newly developed treatments for years after they are available.

Secondly, and far worse is that it will become the standard of care. If it is shown that a particular treatment only buys an average of 12 months of additional life at a cost of more than some standard-let's use $20K per year, then it will be declared not sufficiently effective and be made unavailable under the government paid system. This will happen without regard to individual circumstances which might make it far more effective for you.

We know this is the intention of the plan. Obama has stated so. Howard Dean has stated so and our friends in England already do this in their wonderful public health plan. So, prepare to become like poor Bessy the cow who is too old to give milk anymore. Why should the farmer spend any vet money to keep her alive. When the government runs your health care, you are reduced to a farm animal who has to justify your continued life by productivity. If you can't work, no longer pay income tax, what is the point of spending money to keep you alive. After all, it is their money now.

Only idiots who think that are going to get something for nothing will give up this control of their lives.

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