Palin on Death Panels

Palin on "Death Panels":

Mrs. Palin -- who, as a private citizen, has the honor of having the President address her arguments by name -- responds to certain claims today.

A few days ago, when we were discussing her earlier letter, I said that I didn't think she was talking about Sec. 1233. In today's piece, she discusses her reading of 1233 at length, since the President interpreted her comments as pertaining to it; but adds at the end:

My original comments concerned statements made by Dr. Ezekiel Emanuel, a health policy advisor to President Obama and the brother of the President’s chief of staff. Dr. Emanuel has written that some medical services should not be guaranteed to those “who are irreversibly prevented from being or becoming participating citizens....An obvious example is not guaranteeing health services to patients with dementia.” Dr. Emanuel has also advocated basing medical decisions on a system which “produces a priority curve on which individuals aged between roughly 15 and 40 years get the most chance, whereas the youngest and oldest people get chances that are attenuated.”

I had a feeling that was where she was pointed, because that's where you get a "panel" whose job it is to make recommendations about who lives and who should be let to die. Pro-health-care-reformist Mickey Kaus notes that Obama's own words strongly indicate that he favors such a panel:

He's talking about a panel of independent experts making end-of-life recommendations in order to save costs that have an effect at an individual level. And he thought it would be in the bill that emerges. ... It's also pretty clear that something like the "IMAC" panel is what he has in mind. Whether or not the IMAC would actually do this--Harold Pollack says end-of-life issues are well down the curve-bender's list, for example--Obama thought it would do it. . .

Indeed, what the President said was that "the chronically ill and those toward the end of their lives are accounting for potentially 80 percent of the total health care bill." If that's true, any savings would almost have to come out of care for them: almost all the money is being spent there to start with. Add in the fact that his advisor, Dr. Emmanuel, is pushing to focus our efforts on the remaining 20% of cases, and you can be pretty clear about what the President is thinking. We're going to save money, and we're going to do it by cutting the amount we spend on "the chronically ill and those toward the end of their lives."

Mrs. Palin is right about that. In spite of the arm-waving, she's quite correct to say that this is the vision being advocated.