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Sunday, July 12, 2015

This news caused Sarah Palin to throw canned goods at her fridge

Physicians would be paid to discuss end-of-life options with Medicare patients who want their wishes spelled out in advance under a regulation proposed by the federal government Wednesday.

Medical societies and seniors' groups like the AARP have long supported so-called advance care planning as a way for patients to consider whether they want intensive medical care in the event of a life-threatening illness near the close of their lives, and to make their preferences known to their loved ones in writing. But Medicare has never had a mechanism with which to pay doctors for this counseling, except during a physical exam when beneficiaries first enroll in the program.

“Today’s proposal supports individuals and families who wish to have the opportunity to discuss advance care planning with their physician and care team, as part of coordinated, patient- and family-centered care," Centers for Medicare and Medicaid Services Chief Medical Officer Patrick Conway said in a statement. "CMS looks forward to gathering public input on this proposal.”

An early version of the legislation that became the Affordable Care Act, President Barack Obama's health care reform law, would have established a way for Medicare to pay physicians who discuss end-of-life options with patients. The plan was derailed, however, when ex-Alaska Gov. Sarah Palin, the 2008 Republican vice-presidential nominee, falsely labeled these voluntary counseling sessions as "death panels" that would cut off medical care to older Americans against their wills.

"The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s 'death panel' so his bureaucrats can decide, based on a subjective judgment of their 'level of productivity in society,' whether they are worthy of health care. Such a system is downright evil," Palin wrote in an August 2009 Facebook post.

The "death panel" charge earned the dubious distinction of being named PolitiFact's "Lie of the Year" in 2009, but its power extended beyond the pressure that led Congress to remove the provision from the health care bill. The false claim penetrated the public consciousness, and polls have shown that large pluralities of Americans continue to believe the Affordable Care Act allows the federal government to cut off medical treatments for people deemed too sick. And that's despite the fact that the term "death panel" has been used to describe several other parts of the health care law, such as a commission charged with containing Medicare spending.

In May, 66 organizations representing medical providers and senior citizens, including the AMA and the AARP, wrote to Health and Human Services Secretary Sylvia Mathews Burwell urging the federal government to establish a way to pay for advance care planning.

"Published, peer‐reviewed research shows that ACP [advance care planning] leads to better care, higher patient and family satisfaction, fewer unwanted hospitalizations, and lower rates of caregiver distress, depression and lost productivity," the organizations wrote. "ACP is particularly important for Medicare beneficiaries because many have multiple chronic illnesses, receive care at home from family and other caregivers, and their children and other family members are often involved in making medical decisions."

Sens. Johnny Isakson (R-Ga.) and Mark Warner (D-Va.) are the lead sponsors of a bill that would establish Medicare physician payments for end-of-life discussions between doctors and patients. The provisions that were excised from the health care reform legislation in 2009 were based on a bill also sponsored by Isakson.

The policy proposed Wednesday by the Centers for Medicare and Medicaid Services, which would take effect next year, builds on recommendations made by the AMA to create billing codes under Medicare that physicians can use to charge for these counseling sessions. During the sessions, patients would get advice on a range of options, from minimal medical interventions to demanding that every treatment possible be offered near the end of life. Patients can choose whether or not to schedule end-of-life counseling.

The proposed regulation, whose main purpose is to establish all physician payment rates for 2016, now faces a public comment period that closes on Sept. 8.
And as predicted, it did.

Politicians just don't get it. Their "Death Panels" still won't die. Last night Obamacare masterminds decided they'll pay healthcare providers for vulnerable patients' "end-of-life” plans. Remember that's the strange, intrusive, unaffordable, and unnecessary scheme that was actually stripped from Obamacare five years ago, once we "found out what's in it." So now that part of this socialistic healthcare takeover is back, but yesterday's decision isn't the entire point here.

Be clear, media. Think. Do your homework. Remember when coining “death panel” I focused on the dangers of rationing healthcare services – as it's the inevitable result of any government takeover of healthcare. I was right about this then, and I’m still right about it today. Do your dang homework – you've even admitted I was right, so don't claim I'm "universally discredited" on it. Got it? In fact, even democrats now agree about “death panel" dangers they've found in Obamacare – specifically in the role that unelected, faceless bureaucrats on the Independent Payment Advisory Board (IPAB) will play in determining who will get government's limited supply of care, whose care will be covered, and they'll dangerously decide who will be denied.

Media coverage of my position on this is skewed; as usual they got it wrong. I'm calling you out, L.A. Times. You underestimate the wisdom of the people with your claim that I'm "discredited."

Here's my response to one of your colleague's questions last night about the death panels:

Ms. Reporter - thanks for asking. On the record:

There's no denying that the ultimate fix for Obamacare's unsustainable, unaffordable promises is rationed care. Rationed care decided upon by a panel of faceless bureaucrats who, rational people like me will argue, will measure a person's worth using disagreeable criteria as they justify doling out limited government-controlled care. That, my friend, is a death panel.

1. Does this still concern you as possibly leading to death panels or encouraging doctors to deny care to save costs?

It doesn’t just lead to “death panels” it confirms even further that this “Affordable Care Act” is nothing of the sort, and more importantly it just affords government permission to deny care. This decision does not take into consideration the importance of every individual, nor the sanctity of life, as many of us have said for years. Certainly, all patients and families should be advised of options, but we engage in that today and we don't need government bribing any party to do so. See, Obamacare is about unnecessary government intervention and, ultimately, it's all about government control. Government needs to stay the hell out of our "end-of-life" discussions. I'm so angry at democrat and republican politicians who just rolled their eyes when I, and many others, rose up with warnings that each step forward taken by champions of this socialist program would jerk back two steps from every free American and our God-given rights. Life is not about the almighty dollar and someone's arbitrary decisions about who deserves rationed health care; life is sacred because it's provided by our Creator and in itself deserves to be treated with respect and dignity. Speaking of dollars, a bloated bureaucracy and weak-kneed politicians sent millions of Americans into financial distress, unseen in history, with this leftist scheme called Obamacare.

2. Do you have any concerns about doctors and nurse practitioners being paid or encouraged to have end-of-life planning questions?

Concerns? More than concerns! For anyone who's had health issues – from welcoming the blessing of a new life, to the frightening and unfortunate aspects of life – answering a government questionnaire that will be judged by faceless bureaucrats just doesn’t cut it. The Hippocratic Oath taken by our care providers is one of the oldest, most sacred binding oaths, and through any iterations it has never condoned the taking of innocent life through lack of care, and certainly not via direct action. If you've recently received care then you know the many intrusive, personal questions that government mandates a provider probe. Be aware that most of these questions are for the benefit of a far-away, bankrupt government, they're not for the benefit of the patient. It is happening in our assisted living facilities, our nursing homes, hospitals, doctors’ offices, and schools, despite many providers who disagree with the mandate but are forced or coerced to provide answers to the death panel of the fed.

- Sarah Palin

The best part of this is Johnny Isakson is a Republican!  Oh and Sarah it's been six years since you lied about Obamacare, Creepy Chuck, Easy Sally, and Trig are all still alive, much to your discomfort.


  1. Trig says BULLSHIT to death panels.

  2. Sarah Palin is desperate for more PAC donations so she's rolling out her imaginary "death panels" once again to scare old people and dimwits into sending her more of their money.

    I guess she hasn't figured out that half of her targeted audience doesn't even use Facebook. She may have been able to shake down those old people for money when they watched her on Fox news, but the don't get their news from social media, Facebook etc. So that stupid bitch needs to get some new material or stfu and give it a rest!

    1. 40% of Sarah's Facebook fans are in India and they're even more fake than she is.

  3. LevidumpedthepalinsJuly 12, 2015 at 9:14 AM

    The Palin gals are howling for attention.

    Sarah is gasping like a clubbed halibut. She keeps bringing up the old topics that no linger attract the MSM spotlight. What else can Sarah do? Nothing else is working.

    Bristol got pregnant again thinking Candies and Reality TV will come knocking on her door. Of course there is zero interest. All the chubby diva did was complain about the cameras.

    1. There's easy money to be made playing your one hit to old folks hard of hearing.

      But Sarah would have to get off her ass and take her one hit on the road...

      Not happening.

  4. Sarah, you moron. As you are fully aware, your daughter the whore who'll soon be "welcoming the blessing of a new life" always uses her free taxpayer-funded Eskimocare when she whelps.

    1. Just think Sarah, soon there will be one more mouth to feed...a grandchild to provide for, for many years to come, out of your dwindling PAC resources.

      Since this pregnancy isn't being denied and covered up (like DWTS for example), the baby can't be palmed off on relatives, adopted out or hidden away.

      Now Sarah, if you can just get Bristol to prove who the baby daddy is and get him to pay child support, you (Grandma) may be off the financial hook, so to speak.

      However, if Dakota isn't the father (and most of us think he isn't), then Bristol will be acknowledging that she tried to get a guy (a MOH winner at that) to marry her, once she found out she was pregnant by another man. Golly, where have we read that script before?


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