Monthly Archives: July 2009

Trying to find out what Obamacare really says about end of life issues

There has been a lot of discussion about “end of life” provisions in Obamacare.  One side says there will be a mandatory consultation by some government bureaucrat for seniors to discuss end of life issues.

The other side says, no, no, no, it’s not mandatory, it just says medicare will pay for it, if you choose to consult with your own physician about end of life issues.  Which is why I don’t believe what I hear on the so-called news.  It’s just one side against the other, each trying to push their own ideas about it.

It’s almost impossible for the average person to know because we have no credible information.  And even if we did have a copy of the bill to read, we would need “two lawyers” to interpret it for us, as Mr. Rangel says  It wasn’t Mr. Rangel but Conyers.

In addition to that, I think there are about 5 different bills going around, 3 in the house and 2 in the senate.  Lord knows which one they are even talking about.

I have been looking for something that would give me the exact wording of this section or at least an honest assessment of what it says.  I tried to download the over 1000-page bill, and it shut my computer down.  I finally found somewhat of an explanation.  This is from a post made by Forbes.com.

They say:

Buried halfway through the current version of “America’s Affordable Health Choices Act,” the House version of ObamaCare, is a set of proposals pertaining to end-of-life care.

Which has language going back to another bill:

The end-of-life language originates from a different bill, called the Advance Planning and Compassionate Care Act, introduced earlier this year by Sens. Jay Rocefeller, D-W.Va., and Susan Collins, R-Maine. In addition to the consultation, which Medicare will pay for every five years, the bill also says that patients will be informed about the benefits of hospice and palliative care. Hospices are facility or home-based services for terminally ill patients to receive pain medicine and other comforts before they die.

[“”Palliative care is any form of medical care or treatment that concentrates on reducing the severity of disease symptoms, rather than striving to halt, delay, or reverse progression of the disease itself or provide a cure.””]

Thus the “take a pain pill” analogy.

I don’t see anything here that says the consultation is mandatory but:

It also would create a tracking system to see if doctors are promoting advanced care directives and following them.

Could this be where the idea is coming from that the government will be involved in it.  The “tracking system” would monitor the doctors to see if they are following “directives” which would come from where?  Probably the government. AHRQ? HHS?

President Obama has made statements that make you think that cost will be a determining factor, even using his grandmother as an example of questioning whether or not she should have a hip replacement at her age, and so hospice and pain pills will be sort of pushed or advocated to elders as a choice they should make.  And, of course, hospice care companies are all for it.  Funny trivia – one of the major hospice companies also owns Roto Rooter.  🙂

The Bush administration put forth something that encourages living wills, and they say they are just reiterating this as an option.

I don’t know.  But there are some things that would make a person disagree with this on principle.  When you add to it that the Obama administration has at least two czars with questionable beliefs, one who elevates animals to the status of human beings  and one who has advocated population control and sterlization.  Plus we have an advocate of Obamacare, Peter Singer, who sets forth equations that measure the value or lack of value of old people.  A third is Dr. Ezekial Emanual, presidential advisor and brother of Rahm, who holds views that place values on human life with regard to their age and ability to contribute to society.  It does matter what people believe because from those beliefs come their actions.  (I just read this last paragraph back to myself and it sounds like scare tactics of some wild-eyed

wild eyes

radical, but don’t go by me, just check it out.  I did not make it up.)

Of course, if you’re young, it’s probably not an issue but everybody will be old, if they live long enough.  🙂

See previous post and Here.

Posted:  07.31.09

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Filed under Barack Obama, health care, Human Interest, life, Uncategorized

Obama still should apologize, he was wrong!

The beer summit does not get it.

Obama should apologize for rushing to judgment without the facts, and for insulting the Cambridge police in favor of his friend.

It is not the facts of this particular case that are really important here.  It is the fact that the President of the United States made it a national incident and he didn’t have the facts.  He even prefaced his statements saying he did not have the facts.  He kept saying “from what I heard.”  He heard it from Gates, so he only had one side and was quick to condemn the police.  He is a lawyer and he knows you don’t make judgments on hearsay, not even to mention that he is a Harvard scholar, as is Gates.

Neither is it about the entire history of the country nor about every single thing that has ever been done wrong.

Every incident has to be judged on its own merits, which is what a court of law or a grievance committee is for if one believes they were wronged.  Crowley is entitled, as a U. S. citizen, to the presumption of innocence.  Gates is entitled to have his side heard as well.  But not on the scene – in a proper proceeding.

I don’t think it does any good at all to have all this talk, talk, talk.  We don’t need more dialogue.  It only divides.  If we could just get a clean slate and not drag up 200 years of what happened before we were born, we may be able to make some progress.  But then we have made progress – tremendous progress.  In this case alone, we have a president who is black, we have a governor of Massachusetts who is black, and we have a mayor of Cambridge who is black.  It seems they have all done pretty good in America.  In fact, Gates is an educated, well-heeled, man who returned to Martha’s Vinyard after the meeting.  The president returned to the White House.  So who is the little guy in this scenario?

It’s kind of like a troubled marriage.  If every time there is an argument, you bring up every single thing that has happened throughout the marriage, all the things that have hurt your feelings or made you mad, this marriage is doomed.  It divides and it will never save a marriage.  For reconciliation, at some point there has to be forgiveness, a line drawn in the sand, and move on from there to build or rebuild the relationship.

So the beer summit was just that – B.S.

I did not think Sgt. Crowley should attend it, but he did the right thing, came out and answered questions, said they had agreed to disagree.  Just heard somebody say to watch Crowley, he’ll probably be the next head of the FBI.  🙂

But President Obama is using this “beer around a picnic table” to avoid taking responsiblity for his mistake.  He clearly hurt a lot of people by making this a national issue, from the citizen who made the 911 call, to the police department, to Crowley’s colleagues, the City of Cambridge, the families involved, the children involved.

Update:  I am just watching an incident that happened in Florida where the cops “made up stuff.”  Horrible.  I did notice that it involved a white cop and a white woman.  Just because you are white does not mean that you can’t be a victim in this country.  But, again, every case on its own merits!

Posted:  07.31.09  Update:  07.31.09 @ 1:49.

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Filed under Barack Obama, Human Interest, Law, life, politics, President Barack Obama, Uncategorized

Restless tea baggers in Missouri and N. C. this week (Videos)

Crazy ass tea baggers!!  🙂 This is what MSNBC, et al, is trying to stop, disparage, down play.  If all these people are just crazy, then we better build some more insane asylums.    Everybody has a right to be heard in this country.  This is America.  And this is what congress does not want to deal with on recess.

Claire McCaskill holds Town Hall meeting in Missouri on July 27, 2009

Obama comes to Raleigh, North Carolina, on July 29, 2009, below.


I watched the Town Hall from Raleigh, and it all looked great from the inside of the building and it appeared that all were in favor of the health care, didn’t it?  Just didn’t show what was happening outside.  (5:24 in the video is revealing)

Posted:  07.30.09

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Filed under Barack Obama, Financial Crisis, health care, Human Interest, Media, President Barack Obama, Uncategorized

Sinking: Presidential approval index at minus 12, disapproval on Gatesgate

Forty percent (40%) Strongly Disapprove giving Obama a Presidential Approval Index rating of -12. That’s the lowest rating yet recorded for President Obama.

Overall, 48% of voters say they at least somewhat approve of the President’s performance. That is the lowest level of total approval yet recorded for this President. Fifty-one percent (51%) now disapprove.

obama_index_july_30_2009

See  Rasmussen Reports.com.

*****

The poll by the nonpartisan Pew Research Center found that 41 percent disapproved of Obama’s handling of the Gates arrest, compared with 29 percent who approved. The poll also found the incident and Obama’s reaction saturated the public consciousness. As many as 80 percent of Americans said they are now aware of Obama’s comments on the matter.  (Poll conducted Wednesday to Sunday last week.)

Entire poll at Pew Reasearch.org.

Should Crowley meet for the beer fest?  Vote here: https://bellalu0.wordpress.com/2009/07/27/should-crowley-meet-with-president-gates-poll/

Posted:  07.30.09

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Filed under Barack Obama, Human Interest, politics, President Barack Obama, Uncategorized

Who gets the swine flu vaccine? Seniors get left-overs if there are any

Let the rationing begin:

Jul 29, 2009 (CIDRAP News) – The top US advisory panel on immunizations recommended today that groups totaling up to 159 million people be targeted for vaccination against the pandemic H1N1 influenza virus but that a narrower population of about 41 million have priority if initial supplies are short.

The Advisory Committee on Immunization Practices (ACIP) picked five target groups for initial immunization because of their increased risk of H1N1 infection or complications or their contact with vulnerable people:

  • Pregnant women
  • Household contacts of babies under 6 months of age
  • Healthcare and emergency medical services (EMS) workers
  • Children and young people aged 6 months through 24 years
  • People between 25 and 64 years who have chronic medical conditions

But if the demand for vaccine outstrips supplies, said Dr.Anne Schuchat of the Centers for Disease Control and Prevention (CDC), the five groups would be as follows:

  • Pregnant women
  • Healthcare and EMS workers who have direct contact with patients or infectious substances
  • Household contacts of babies younger than 6 months
  • Children aged 6 months through 4 years
  • Children and adolescents from 5 through 18 years who have risk factors for flu complications

Healthy people between the ages of 25 and 64 can be immunized after the demand from the target groups has been met, said the committee, which advises the CDC. Because people 65 and older seem to have a lower risk of H1N1 infection than younger people, they can be vaccinated as supplies permit and other groups are served, the panel advised.

[Think about this.  It does not look good for the adult population and even worse for ages 65 plus, who essentially won’t be considered until the entire population has been vaccinated.  Even under the first scenaro, 65 plus are not allowed the vaccine.  It does not bode well for babies under 6 months old either.  It appears they have used the Complete Lives System advocated by Presidential Advisor and brother of Rahm, Dr. Ezekiel Emanual.]


old young peter singer

Now let’s see, Peter Singer equation as follows:

“If a teenager can be expected to live another 70 years, saving her life counts as a gain of 70 life-years, whereas if a person of 85 can be expected to live another 5 years, then saving the 85-year-old will count as a gain of only 5 life-years. That suggests that saving one teenager is equivalent to saving 14 85-year-olds.”

Excerpt from Why We Must Ration Health Care by Peter Singer published NYT.com on July 15, 2009.

See previous post What Price is Life? Peter Singer and Obamacare.

Related links:

http://cbs5.com/health/cdc.thomas.frieden.2.1010328.html

http://pundita.blogspot.com/2009/05/h1n1swine-flu-have-cdc-and-dr-thomas.html

Posted: 07.30.09

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Filed under Barack Obama, health care, Human Interest, life, politics, President Barack Obama, Uncategorized

Take poll on Hillary’s future

Take the poll at Newsbuster Poll on Hillary’s future

Choices Are:

Run for president in 2016

Run for president in 2012 if Obama is vulnerable

Return to the Senate

run for governor of New York

Posted: 07.29.09

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Chris Matthews takes up health care, Glenn Beck, Birthers (Update)

I’m watching FOX MSNBC so you don’t have to.

I caught a segment of Chris Matthews Hardball today (7.29.09).  Not quite as blatantly insulting as some previous shows, but they just could not resist playing the race card as they were accusing Glenn Beck of playing the race card.

We have Chris Matthews, a lady from the Washington Post, and a man from Politico.  They both seemed to be on the same side, and this time, in some points, Matthews was asking some real questions.

This is paraphrasing:

Chris says stay tuned, there will be something on Glen Beck and the Birthers.  Something about the politics of personal destruction (funny) by the republicans and “will this hurt the republicans?”  Reference to the “president’s enemies.”

The first topic was health care and from AARP person asking:  Is there something in the bill that send somebody out to counsel the elderly about how they wish to die?  This question was posed to the president by phone, and she asked him to promise her this was not in the bill.

President Obama said something to the effect, You know, I guarantee you first of all that we don’t have enough government workers to send to everybody.  But that there was something – and he thinks it’s a good thing – that makes it easier to fill out a living will.

Then a clip of Virginia Foxx  (R/NC)  on the floor of the House making a statement about an alternative bill that is “pro-life and it will not put our seniors to death by their government.”  Not the exact words, now, but pretty close.  I’m sure there’s a video of it.

Somebody said, maybe there’s a provision in there which allows you to get counseling.

Chris:  What the hell is that doing in the bill?  Why be visited every five years?

WaPo woman: It’s just an extention of something from the Bush administration.  (Funny – Back to Bush, it’s all his fault.)

Chris:  This is about health care, why have this conversation with them?  It offers fodder for the republicans to find something to kill the bill.

Something about living wills.   (Which they already do when you go into the hospital.)

(I’m just wondering how HIPA plays into this with computerized records?)

Now to Glenn Beck…..

Beck says the president has some deep-seated hatred for white people or the white culture, I’m not saying he doesn’t like white people, he has a problem – is a racist. (paraphrasing)

Woman from WaPo:  Why are we talking about this guy?   He comes from the same hateful school of punditry as Ann Coulter.

Chris:  Because more people are watching him than read the Washington Post.  (Funny)

See New Daily News for back story.

Now to the Birthers:

Chris:  The republican right, the far right, questions the birth implying “this guy’s not one of us.”

The far right – something about racial overtones, trying to give themselves some degree of assurance that this country did not elect an African American.’

Chris:  Of course it’s about race.  It’s not about documentation but pigmentation.  The republicans should cut loose the caboose, cut it loose.

(Well, there you go.  And I thought it was about producing or failing to produce a birth certificate.  Silly me.  Of course, the “caboose” is full of American citizens who could probably come up with a birth certificate without too much difficulty.  Matter of fact, if one of them wants to, say, get a passport or apply for Social Security, that’s exactly what they would have to do.  Don’t think it would work to tell the federal government that you put it on the internet — just Google it.)

[Comments in parenthesis are mine.]

UPDATE: RBO has a great post bringing this whole thing together with videos, names of the guests on Hardball mentioned above and showing the role of Media Matters in the thinly veiled connections between MM and MSNBC. For whatever reason, when a person is targeted or an issue is targeted for “destruction,” they all act together, in concert. And it appear that the Washington Post and Politico are in the loop.  No blow is too low.  Once you catch on to how it works, it’s easy as pie to see. I haven’t even read MM lately, but I know from what I have seen on MSNBC that the current target(s) are the Birthers, Glenn Beck, the tea baggers, probably Lou Dobbs, and always the republicans. See the post here.

P. S. Well, calling the president a racist? Perhaps Beck could have calibrated his words a little differently.  But he says that whether he has a radio show or not or whether he has a tv show or not, they will not shut him up. Speak on, Glenn.  “Fan them flames.”

Does anybody remember the vile things Bush was called?  Ever watch Keith Olbermann?  Especially during the Bush years.  So here we have MSNBC getting all upset over Lou Dobbs or Glenn Beck?  You can’t make it up.

On Morning Joe in their Beck Bash, Jonathan Capehart (Washington Post again) said how could he (the president) possibly be a racist, he’s half white, for goodness sake.  Wait a minute.  Wouldn’t that make him a racist for a certainty with that white blood and all?  🙂  Didn’t Gates call Sgt. Crowley a racist?  And Gates gets a documentary out of it.  Double standard?  Nah.

But then I’m just a typical white person clinging to my guns and bible and it’s really hard for me to keep from acting stupidly.

Posted:  07.29.09 Updated: 07.30.09 @ 2:05.

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