Mocking vs References Sarah Palin vs detractors: Update Palin Victory Lap

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Mocking vs References Sarah Palin vs detractors: Update Palin Victory Lap

Turned on Morn­ing Joe for a moment this morn­ing after mass and there was Gail Collins, Joe et/​al hit­ting Sarah Palin again over “death pan­els” like the rest of the media.

No men­tion of the sec­tion of the bill Update: Pat just men­tioned it in ques­tion or of Charles Lane or even Eugene Robin­son (a reg­u­lar guest) who agrees with their assess­ment of Palin but is sus­pi­cious of the sec­tion of the bill.

Sarah Palin not only responds but includes foot­notes to those things.

The pro­vi­sion that Pres­i­dent Obama refers to is Sec­tion 1233 of HR 3200, enti­tled “Advance Care Plan­ning Con­sul­ta­tion.” [2] With all due respect, it’s mis­lead­ing for the Pres­i­dent to describe this sec­tion as an entirely vol­un­tary pro­vi­sion that sim­ply increases the infor­ma­tion offered to Medicare recip­i­ents. The issue is the con­text in which that infor­ma­tion is pro­vided and the coer­cive effect these con­sul­ta­tions will have in that context.

Sec­tion 1233 autho­rizes advanced care plan­ning con­sul­ta­tions for senior cit­i­zens on Medicare every five years, and more often “if there is a sig­nif­i­cant change in the health con­di­tion of the indi­vid­ual … or upon admis­sion to a skilled nurs­ing facil­ity, a long-​term care facil­ity… or a hos­pice pro­gram.” [3] Dur­ing those con­sul­ta­tions, prac­ti­tion­ers must explain “the con­tin­uum of end-​of-​life ser­vices and sup­ports avail­able, includ­ing pal­lia­tive care and hos­pice,” and the gov­ern­ment ben­e­fits avail­able to pay for such ser­vices. [4]

Now put this in con­text. These con­sul­ta­tions are autho­rized when­ever a Medicare recipient’s health changes sig­nif­i­cantly or when they enter a nurs­ing home, and they are part of a bill whose stated pur­pose is “to reduce the growth in health care spend­ing.” [5] Is it any won­der that senior cit­i­zens might view such con­sul­ta­tions as attempts to con­vince them to help reduce health care costs by accept­ing min­i­mal end-​of-​life care? As Charles Lane notes in the Wash­ing­ton Post, Sec­tion 1233 “addresses com­pas­sion­ate goals in dis­con­cert­ing prox­im­ity to fis­cal ones.… If it’s all about alle­vi­at­ing suf­fer­ing, emo­tional or phys­i­cal, what’s it doing in a mea­sure to “bend the curve” on health-​care costs?”

And she doesn’t even use Just one Minute post that quotes pres­i­dent Obama or Kaus­files.

I think Palin laid a trap here. She used the word death pan­els know­ing the response it would get to bait the media, they responded as expect and now she can coun­ter­punch with the actual bill, talk­ing pol­icy and draw atten­tion to a bad bill.

By being out front on her oppo­si­tion she when this bill fails she will be one of the polit­i­cal win­ners. Those town hall atten­dees are an instant base and even if some bill passes if the pro­vi­sions of sec­tion 1223 are pulled or mod­i­fied she can claim vic­tory again.

Oh and Harold Ford blamed Repub­li­cans for that sec­tion just as I started typ­ing this. Shrum is say­ing it too. When the topic goes from: “This is a lie” to “It was the repub­li­cans idea.” then the game is nearly done.

Update: Scar­bor­ough says Rush Palin et/​al hurt repub­li­cans by speak­ing out. Can some­one PLEASE com­pare the generic bal­lot from before they spoke out and after­ward and get him a copy.

Update 2: Would it shock you to know that the Hem­lock Soci­ety (now called Com­pas­sion & Choices) claims to have had a hand in writ­ing this sec­tion? It doesn’t shock me.

Update 3: Can some­one please give Joe a link to this post.

Update 4: Doug Brady gets it.

Update 5: Well that’s out of the Bill. Vic­tory lap for Sarah Palin, not bad for “an irrel­e­vant quit­ter”, Exit ques­tion for Joe and Mika: Would this have been removed from the bill if Palin & Rush had never brought it up?

Update 6: Kos is not amused.

Turned on Morning Joe for a moment this morning after mass and there was Gail Collins, Joe et/al hitting Sarah Palin again over “death panels” like the rest of the media.

No mention of the section of the bill Update: Pat just mentioned it in question or of Charles Lane or even Eugene Robinson (a regular guest) who agrees with their assessment of Palin but is suspicious of the section of the bill.

Sarah Palin not only responds but includes footnotes to those things.

The provision that President Obama refers to is Section 1233 of HR 3200, entitled “Advance Care Planning Consultation.” [2] With all due respect, it’s misleading for the President to describe this section as an entirely voluntary provision that simply increases the information offered to Medicare recipients. The issue is the context in which that information is provided and the coercive effect these consultations will have in that context.

Section 1233 authorizes advanced care planning consultations for senior citizens on Medicare every five years, and more often “if there is a significant change in the health condition of the individual … or upon admission to a skilled nursing facility, a long-term care facility… or a hospice program.” [3] During those consultations, practitioners must explain “the continuum of end-of-life services and supports available, including palliative care and hospice,” and the government benefits available to pay for such services. [4]

Now put this in context. These consultations are authorized whenever a Medicare recipient’s health changes significantly or when they enter a nursing home, and they are part of a bill whose stated purpose is “to reduce the growth in health care spending.” [5] Is it any wonder that senior citizens might view such consultations as attempts to convince them to help reduce health care costs by accepting minimal end-of-life care? As Charles Lane notes in the Washington Post, Section 1233 “addresses compassionate goals in disconcerting proximity to fiscal ones…. If it’s all about alleviating suffering, emotional or physical, what’s it doing in a measure to “bend the curve” on health-care costs?”

And she doesn’t even use Just one Minute post that quotes president Obama or Kausfiles.

I think Palin laid a trap here. She used the word death panels knowing the response it would get to bait the media, they responded as expect and now she can counterpunch with the actual bill, talking policy and draw attention to a bad bill.

By being out front on her opposition she when this bill fails she will be one of the political winners. Those town hall attendees are an instant base and even if some bill passes if the provisions of section 1223 are pulled or modified she can claim victory again.

Oh and Harold Ford blamed Republicans for that section just as I started typing this. Shrum is saying it too. When the topic goes from: “This is a lie” to “It was the republicans idea.” then the game is nearly done.

Update: Scarborough says Rush Palin et/al hurt republicans by speaking out. Can someone PLEASE compare the generic ballot from before they spoke out and afterward and get him a copy.

Update 2: Would it shock you to know that the Hemlock Society (now called Compassion & Choices) claims to have had a hand in writing this section? It doesn’t shock me.

Update 3: Can someone please give Joe a link to this post.

Update 4: Doug Brady gets it.

Update 5: Well that’s out of the Bill. Victory lap for Sarah Palin, not bad for “an irrelevant quitter“, Exit question for Joe and Mika: Would this have been removed from the bill if Palin & Rush had never brought it up?

Update 6: Kos is not amused.