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An unsightly condition caused by unsanitary health-care politics
By Sharon Begley | NEWSWEEK
Published Aug 29, 2009
From the magazine issue dated Sep 7, 2009
To the credit of opponents of health-care reform, the lies and exaggerations they're spreading are not made up out of whole cloth—which makes the misinformation that much more credible. Instead, because opponents demand that everyone within earshot (or e-mail range) look, say, "at page 425 of the House bill!," the lies take on a patina of credibility. Take the claim in one chain e-mail that the government will have electronic access to everyone's bank account, implying that the Feds will rob you blind. The 1,017-page bill passed by the House Ways and Means Committee does call for electronic fund transfers—but from insurers to doctors and other providers. There is zero provision to include patients in any such system. Five other myths that won't die:
You'll have no choice in what health benefits you receive.
The myth that a "health choices commissioner" will decide what benefits you get seems to have originated in a july 19 post at blog.flecksoflife.com, whose homepage features an image of Obama looking like heath ledger's joker.
In fact, the house bill sets up a health-care exchange—essentially a list of private insurers and one government plan—where people who do not have health insurance through their employer or some other source (including small businesses) can shop for a plan, much as seniors shop for a drug plan under medicare part d. The government will indeed require that participating plans not refuse people with preexisting conditions and offer at least minimum coverage, just as it does now with employer-provided insurance plans and part d. The requirements will be floors, not ceilings, however, in that the feds will have no say in how generous private insurance can be.
No chemo for older medicare patients.
The threat that medicare will give cancer patients over 70 only end-of-life counseling and not chemotherapy—as a nurse at a hospital told a roomful of chemo patients, including the uncle of a NEWSWEEK reporter—has zero basis in fact. It's just a vicious form of the rationing scare. The house bill does not use the word "ration." Nor does it call for cost-effectiveness research, much less implementation—the idea that "it isn't cost-effective to give a 90-year-old a hip replacement."
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