{"id":33231,"date":"2011-05-19T02:00:38","date_gmt":"2011-05-19T02:00:38","guid":{"rendered":""},"modified":"2011-05-19T02:00:38","modified_gmt":"2011-05-19T02:00:38","slug":"the_bottom_line_on_death_panels","status":"publish","type":"post","link":"https:\/\/admin.rushlimbaugh.com\/daily\/2011\/05\/19\/the_bottom_line_on_death_panels\/","title":{"rendered":"The Bottom Line on “Death Panels”"},"content":{"rendered":"
\n

RUSH: Scott in Tulsa. I\u2019m glad you called, sir. Hi.<\/p>\n

CALLER: Hey, Rush. How are you?<\/p>\n

RUSH: Fine and dandy, sir.<\/p>\n

CALLER: I appreciate you putting me on the air. Uhhh, minor dittos from Oklahoma.<\/p>\n

RUSH: Thank you, sir.<\/p>\n

CALLER: Listen, I\u2019m calling to complain about the net effect of your take, your narrative on this health reform bill and really it culminated in picking up a newspaper here and they pulled the provision for end-of-life counseling out of the legislation.<\/p>\n

RUSH: Mmm-hmm.<\/p>\n

CALLER: My read on that — my attempt to kind of see beneath all the hype, the hype on both sides of it — what I learned about it was that\u2019s a great deal. That\u2019s a great program. Counseling for seniors, if somebody gets a terminal, you know, prognosis from their doctor. Medicare doesn\u2019t cover going sitting down and talking with the doctor about, you know, what to do next, what\u2019s going to…? How is this thing going to play out? Right now if you\u2019re on Medicare, you\u2019ve got to pay that out of your pocket. The effects of you repeat — and a host of other people repeating Betsy McCaggie\u2019s (sic) line that what this amounts to is a panel of bureaucrats who will try to deny coverage, usher you into the chutes of euthanasia and, you know, send you off the edge, all of that is false.<\/p>\n

RUSH: Except one thing. You mean Betsy McCaughey, and I have not said that. I have not —<\/p>\n

CALLER: You have not repeated Betty McCaughey?<\/p>\n

RUSH: I have not used the word ‘death panels\u2019 except quoting Sarah Palin. I have talked about the reality of what\u2019s going to happen. Here\u2019s what I have said. In the first place, before I get to that, I do want to object. I don\u2019t think the government has any business telling doctors that they\u2019re going to sit and talk to people about end-of-life. I don\u2019t think that\u2019s the government\u2019s job. It\u2019s none of Obama\u2019s business or any bureaucrat that he would select.<\/p>\n

CALLER: Could I…? Could I interrupt you again right there and say we\u2019re talking about the provision where the government didn\u2019t force doctors or tell doctors. The provision clearly stated — and I read it myself —<\/p>\n

RUSH: Then why did they pull it out?<\/p>\n

CALLER: — that it covered the conversation.<\/p>\n

RUSH: Why did they pull it out if it\u2019s so damn good? They pulled it out because it is what people think it is.<\/p>\n

CALLER: Well, why do you think, Rush? Why do you think?<\/p>\n

RUSH: Why do I think what?<\/p>\n

CALLER: Because you can\u2019t turn on a news program and not hear the words ‘death panel\u2019?<\/p>\n

RUSH: Why do I think what?<\/p>\n

CALLER: Why do you think they took the provision out? Why do you think they took it out?<\/p>\n

RUSH: Because it was something the American people understood and tonight want! It\u2019s very simple why they took it out. Look, if I\u2019m doing a town hall meeting and I got this provision in there, and I got this whole plan — now, listen to me, Scott. If I think this plan is great, if I think it\u2019s the greatest thing under the sun and my constituents don\u2019t understand it, I want every town hall meeting I can get. And I\u2019ll spend six hours with them. And I\u2019ll tell \u2019em how good it is. I\u2019ll tell \u2019em how they\u2019re wrong, because if I really think it\u2019s good for them I\u2019m going to tell them. But they don\u2019t know. This is not good for people. That\u2019s why they pulled it out. They tried to sneak it in. Here\u2019s the practical result. Forget the term ‘death panel.\u2019 <\/p>\n

That was just a clever turn of phrase by Sarah Palin that really focused Obama and focused a lot of people. But the way it works is this. It\u2019s very simple. This is what I\u2019ve said, by the way. We don\u2019t spend money on the healthy. We spend money on the sick. You can listen to everybody in government talking about health care, and the one thing they have in common is they all say, ‘We\u2019re spending too much money, and we can\u2019t keep this up. We\u2019ve gotta find a way to cut costs. We have to do it.\u2019 Okay. Put those two things together: We don\u2019t spend any money on the healthy and we gotta cut costs, that means what? We gotta cut costs on the sick! So some people who are sick are not going to get covered. They\u2019re not going to get treated. It\u2019s simple mathematics and common sense. <\/p>\n

Then if you have these end-of-life counseling sessions that you like, that you think are good because Medicare is going to pay for it, if we have these, then I guarantee you the only reason to put that in there is because the government is going to have to decide — individual case by individual case — who\u2019s going to get treated and who isn\u2019t, and the counseling is to deal with that. Obama himself has said (paraphrased), ‘No, I don\u2019t think a hundred-year-old woman should get a pacemaker. She should get a pain pill.\u2019 We know what that means, loop \u2019em out and let \u2019em live the rest of their lives in a stupor rather than be treated. This is what it is. Besides that, why is it such a wonderful thing that Medicare would pay for this? <\/p>\n

What the hell ever happened to people paying for their own stuff? Whatever happened to that concept? If you want to go talk to a doctor about the end-of-life, if you want to get a counselor, then do it! It\u2019s not like you\u2019re going in for a $55,000 operation on anything. But you can do it with your family. You can get your own living will. But you certainly do not want the federal government involved in who lives and dies. And they\u2019re going to be. It\u2019s not even a matter of death panels. It\u2019s just a matter of common sense the way this plan\u2019s gonna work. And they pulled it out of there in the Senate because the people have figured it out. But don\u2019t worry, Scott. The House is leaving it in and it\u2019s going to be a big fight when they go to conference if they ever get there.<\/p>\n

BREAK TRANSCRIPT<\/p>\n

RUSH: I want to go back on this $8,000-per-person health care versus $6,000 or whatever number they pull out of their hats and say we\u2019re spending on health care. That is a rhetorical trick that is to blur this whole thing. Because they are trying to make the case that they can provide this ‘for free.\u2019 If they can convince a number of people that, quote, unquote, ‘The government is going to pay for it therefore it\u2019s going to be free,\u2019 then they stand a better chance of getting this passed. But that\u2019s what people are beginning to understand. In addition to it not being free, there\u2019s all kinds of hideous stuff in it. But the idea that you pay nothing for it, that a couple millionaires are going to get their tacks increased and that your beloved government is going to cover it all, how are they going to do that? They\u2019re going to reduce spending to $4,000 a year per person? <\/p>\n

If so, who suffers? The bottom line is: We only spend money on the sick. We don\u2019t spend it on the healthy. If we\u2019re going to cut spending, we gotta cut spending on the sick. And I\u2019ve got section 1233 here. We had the call from the guy in Tulsa who said you\u2019re misrepresenting and maligning the death panel business. Section 1233, House bill, ‘Advanced Care Planning,\u2019 excerpts, pages 424 to 430. I\u2019ve got some of this stuff highlighted. Here\u2019s section 4E, an explanation… Well, it\u2019s not section 4E. It\u2019s line four: ‘An explanation by the practitioner of the continuum of end-of-life services and supports available, including palliative care and hospice, and benefits for such services and supports that are available under this title. A program for orders for life sustaining treatment for estates described in this clause is a program that ensures such orders are…\u2019 <\/p>\n

It goes on and on. When you go through this, it sure sounds like a government panel is going to be deciding a lot of stuff — and it will! There\u2019s no way around this. But here\u2019s the insidious part of this. The most insidious part of this and any government plan — any government plan — is the vast medical expenditures in this nation become nothing more than a government budget item, and this is what concerns me the most, society-wise. It will forever transform the relationship between Americans. I mean, we\u2019re no longer individual citizens. We\u2019re no longer consumers. We will instantly become rivals. We\u2019re going to become competitors vying against each other for precious health care dollars. You\u2019re going to look at other people in your country — your neighborhood, your state — as rivals, as potential enemies, in the competition for government health care dollars. <\/p>\n

This is often going to happen in life-or-death situations. The old American ‘live and let live\u2019 attitude will be instantly impossible. Social cohesiveness in civil society is going to be terrifically wounded. In the end every American is going to resent or is going to want to beat out every other American in the race for medicine and it\u2019s all going to be, ‘It\u2019s me or him,\u2019 when you\u2019re becoming nothing more than a budget item. And that\u2019s all we\u2019ll be once the government takes over this if they ever do and if you paid attention to congressmen when they talk about budget items — if you\u2019ve ever watched C-SPAN or listen to a markup on a bill — the way they start talking about budget items is entirely impersonal. I don\u2019t want to be a budget item, and I don\u2019t think any of the rest of you do, either. Back to the audio sound bites. Our old buddy David Brooks was back at it again. On Friday night, The NewsHour with Jim Lehrer on PBS. Jim Lehrer said to David Brooks of the New York Times, ‘He said this about President Obama and you.\u2019 That\u2019s what Lehrer said and this is Brooks\u2019 reply.<\/p>\n

BROOKS: He [Obama] just tells a lot of whoppers now. Now, believe me, Rush Limbaugh and Sarah Palin are saying some things that are extremely off-the-charts untrue about the plan. But I just wrote down some of the things Obama said today which are whoppers. He said ‘everyone can keep their health care plan.\u2019 Well, this bill doesn\u2019t say that. Six million people are going to lose their plan. ‘Preventive care saves money.\u2019 That\u2019s not true. ‘It\u2019s going to cost 90 billion a year.\u2019 That\u2019s not true. It\u2019s probably going to cost twice as much when it\u2019s fully implemented. ‘Government will be out of health care decisions.\u2019 Often when I look at him, I think he\u2019s overpromising. Not as much as the other side but to a significant degree.<\/p>\n

RUSH: Now, Brooks when he starts the comment and says, ‘He\u2019s telling a lot of whoppers now,\u2019 he\u2019s talking about Obama. But then he has to throw in this, ‘ Now, believe me, Rush Limbaugh and Sarah Palin are saying some things that are extremely off-the-charts untrue about the plan. But I just wrote down some of the things Obama said today which are whoppers.\u2019 You know, I don\u2019t tell lies on this program. It is not necessary. I don\u2019t have to lie about my beliefs. I don\u2019t have to lie about what liberals want to do. I don\u2019t have to lie about what liberals say. I don\u2019t have to make it up! I do not make up one thing. I do not lie. I don\u2019t even exaggerate other than for the purposes of humor and satire. I have not said one lie about what Obama\u2019s plan is. All we\u2019ve done, as you well know, is try to get the word out about it. <\/p>\n

David Brooks is a lying machine! For crying out loud, look at how this guy was seduced by Obama and is only now starting to come around — and the gratuitous slap at Sarah Palin. And here comes another one. This was Friday night on the Situation Room on CNN. Wolf Blitzer was talking to The Forehead, Paul Begala. He says, ‘I know you\u2019ll disagree on this, because I want to move on, but don\u2019t have a lot of time. Newt Gingrich, former House speaker, giving advice to Sarah Palin what to do in the coming months: Write a book, become a regular commentator on TV, create a national project or center; work really, really hard. Good advice for Sarah Palin from Newt Gingrich? Give us the back story,\u2019 Forehead.<\/line> <\/line> BEGALA: He\u2019s trying to treat her like she\u2019s a serious person. She\u2019s not. She\u2019s about half a whack job and does not have the intellectual heft of a Newt Gingrich or almost anybody else in the Republican Party, and I think she\u2019s proved that. I admire Newt Gingrich for pretending that she\u2019s a serious person, but Sarah Palin has proven herself to be an intellectual lightweight.<\/line> <\/line> RUSH: All right. There\u2019s a piece in the Wall Street Journal. Actually, it\u2019s The Best of the Web today, James Taranto, and it is from August the 14th. This is the 17th. This is Friday. ‘If she\u2019s dim and Obama is brilliant, how did he lose the argument to her? — The first we heard about Sarah Palin\u2019s ‘death panels\u2019 comment was in a conversation last Friday with an acquaintance who was appalled by it. Our interlocutor is not a Democratic partisan but a high-minded centrist who deplores extremist rhetoric whatever the source. We don\u2019t even know if he has a position on ObamaCare. From his description, it sounded to us as though Palin really had gone too far. A week later, it is clear that she has won the debate. President Obama himself took the comments of [Sarah Palin] seriously enough to answer them directly in his so-called town-hall meeting Tuesday in Portsmouth, NH. <\/line> <\/line> ‘As we noted Wednesday, he was callous rather than reassuring, speaking glibly — to audience laughter — about ‘pulling the plug on grandma.\u2019 The Los Angeles Times reports that Palin has won a legislative victory as well: ‘A Senate panel has decided to scrap the part of its healthcare bill that in recent days has given rise to fears of government ‘death panels,\u2019 with one lawmaker suggesting the proposal was just too confusing. The Senate Finance Committee is taking the idea of advance care planning consultations with doctors off the table …\u2019 The Palin claim about ‘death panels\u2019 was so widely discredited that the White House has begun openly quoting it in an effort to show that opponents of the healthcare overhaul are misinformed.\u2019 You have to love that last bit,\u2019 says Mr. Taranto. <\/line><\/line> ‘The fearless, independent journalists of the Los Angeles Times justify their assertion that the Palin claim was ‘widely discredited\u2019 with an appeal to authority — the authority of the White House, which is to say, the other side in the debate. … One can hardly deny that Palin\u2019s reference to ‘death panels\u2019 was inflammatory. But another way of putting that is that it was vivid and attention-getting,\u2019 and it was! She won the debate! They\u2019ve pulled it. They think she\u2019s an idiot? Actually they don\u2019t think. The bottom line is they don\u2019t think Sarah Palin is an idiot. They\u2019re scared to death of her. She\u2019s the only candidate that fired up the Republican base at all in the 2008 presidential election, and so they\u2019re doing everything they can to discredit her and ruin her. I find it fascinating. The left will tell us who they fear the most. They will tell us who on our side they consider the greatest threat. Sarah Palin, electorally, is who they fear the most — and, of course, they have been afraid of me for 21 years, and that will not stop.<\/line><\/p>\n

BREAK TRANSCRIPT<\/p>\n

RUSH: Here\u2019s Craig in Orlando, Florida. It\u2019s a doctor. Craig, I\u2019m glad you called. Welcome to the EIB Network. Hello.<\/p>\n

CALLER: How are you today, Rush?<\/p>\n

RUSH: I\u2019m just fine. Thank you, sir.<\/p>\n

CALLER: Just a quick comment. I heard a caller earlier that called in to say that physicians are not compensated for discussing end-of-life issues, and that\u2019s simply not true. I\u2019m a heart failure specialist. I implant defibrillators and that\u2019s a part of my conversation with each device and with each meeting. It\u2019s part of our job. It\u2019s what we do.<\/p>\n

RUSH: So basically if you\u2019re going to do any kind of an operation involving the heart with a patient you have to tell them what could happen?<\/p>\n

CALLER: Could happen and alternatives. Defibrillators prevent a sudden cardiac death in most individuals. Well, the alternative to having a prophylactic defibrillator is to accept your time on God\u2019s earth when it comes to and end.<\/p>\n

RUSH: Right. And how much do you charge for this?<\/p>\n

CALLER: Whatever Medicare wants to honor me with.<\/p>\n

RUSH: (laughing) Whatever Medicare wants to honor you with? <\/p>\n

CALLER: Yeah, well.<\/p>\n

RUSH: So your point is what.<\/p>\n

CALLER: My point is there\u2019s a lie out there that we have to have something new federally to compensate us to have these magical conversations when it\u2019s a part of routine clinical practice as it is. I don\u2019t understand why something new has to be created. To make us, or to regulate it? I mean, we do it already.<\/p>\n

RUSH: It\u2019s really simple. Well, what do you think? I mean, to me this answer is very simple.<\/p>\n

CALLER: I think it\u2019s control.<\/p>\n

RUSH: Government control. They\u2019re already got the foot in the door, and you just said, whatever Medicare honors you with is what you get paid for these so-called counseling sessions.<\/p>\n

CALLER: (unintelligible) clinical visit.<\/p>\n

RUSH: Okay, yeah, but it\u2019s not that expensive.<\/p>\n

CALLER: No.<\/p>\n

RUSH: It\u2019s not as expensive as a procedure.<\/p>\n

CALLER: No. But I don\u2019t understand why it has to be itemized, unless there\u2019s something else that they want to do with it.<\/p>\n

RUSH: Well, that answers itself. It answers itself. It has to be itemized because they\u2019re going to be in on the decision, pure and simple. That\u2019s what Obama wants. Look, my friends, Rahm Emanuel has said that the most important thing in all of this — not the death panels, all the other rigmarole that\u2019s in it — Rahm Emanuel has said that the most important aspect here is for the White House, the executive branch, to take control over Medicare payments and Medicaid. In other words, the House of Representatives right now decides via law and legislation who gets what, how much they get. The White House wants total control of this. That\u2019s the area where the negotiation with the Blue Dog Democrats, there\u2019s still not solved yet, and that\u2019s the sticking point for a lot of them. The House doesn\u2019t want to give it up. Pelosi doesn\u2019t care but some of the Blue Dogs do. Rahm Emanuel wants the White House, i.e., Obama and whatever medical panel he appoints to have that decision process. So if you know that — and Emanuel has said it over and over — if you know that, these are going to be end-of-life counseling sessions. I mean, they can say they\u2019re not going to pull the plug on grandma and all, but they are. <\/p>\n

The dirty little secret is that people make the decision to pull the plug now, but they do it themselves. I\u2019ve told the story about my maternal grandmother had a stroke. It was her second one and she\u2019s in a local hospital in Missouri pretty much in a vegetative state and the doctor talked to my mom and said here\u2019s the reality of the situation, but the decision is yours. My mother talked to me and wanted my thoughts. I said, ‘Well, I don\u2019t know how you\u2019re gonna make the decision to kill your mother, but if that\u2019s what you think you have to do.\u2019 She\u2019s in vegetative state, the doctor said that there was no chance of improvement. I know they needed the bed for another patient. It\u2019s the reality of the situation. But regardless, the conversation took place in private with the doctor and the family. There was no Barack Obama or government acing the family out of the decision which is what they want to do. <\/p>\n

Quick time-out here, folks. We\u2019ll be back and continue after this. <\/p>\n

BREAK TRANSCRIPT<\/p>\n

RUSH: John in Cape Coral, Florida. Great to have you on the EIB Network, sir. Hello.<\/p>\n

CALLER: Oh, thanks for taking the call, Rush. I\u2019m just livid about this. I\u2019m going to really trying to be brief. I have an 85-year-old mother-in-law that retired from the state of Illinois university system. She was employed there. She has always carried the State of Illinois health insurance program. It\u2019s administrated by a private company, CIGNA insurance. Now, she\u2019s had some real bad problems. Heart attack, stroke. She can\u2019t care for herself. We have her in a house now. We\u2019re caring for her, for last six years. My wife takes care of the bills now.<\/p>\n

RUSH: You know, I didn\u2019t look at the clock when I took your call. I\u2019m down to about 30 seconds. How did the government fail?<\/p>\n

CALLER: Bottom line is on the bills now. They weren\u2019t paying the bills. Now it says the State of Illinois health insurance program is out of funds and anything over Medicare payments, she has to pay. <\/p>\n

RUSH: Even though she was insured. Even though she had the insurance and she thought she had coverage, they still decided to stop paying. They ran out of money — and, by the way, we are out of money now. The federal government is in deficit big time. <\/p>\n","protected":false},"excerpt":{"rendered":"

RUSH: Scott in Tulsa. I\u2019m glad you called, sir. Hi. CALLER: Hey, Rush. How are you? RUSH: Fine and dandy, sir. CALLER: I appreciate you putting me on the air. Uhhh, minor dittos from Oklahoma. RUSH: Thank you, sir. 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