rayboyusmc
Senior Member
To the credit of opponents of health-care reform, the lies and exaggerations they're spreading are not made up out of whole clothwhich 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 transfersbut 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 exchangeessentially a list of private insurers and one government planwhere 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 chemotherapyas a nurse at a hospital told a roomful of chemo patients, including the uncle of a NEWSWEEK reporterhas 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 implementationthe idea that "it isn't cost-effective to give a 90-year-old a hip replacement."
The general claim that care will be rationed under health-care reform is less a lie and more of a non-disprovable projection (as is Howard Dean's assertion that health-care reform will not lead to rationing, ever). What we can say is that there is de facto rationing under the current system, by both Medicare and private insurance. No plan covers everything, but coverage decisions "are now made in opaque ways by insurance companies," says Dr. Donald Berwick of the Institute for Healthcare Improvement.
A related myth is that health-care reform will be financed through $500 billion in Medicare cuts. This refers to proposed decreases in Medicare increases. That is, spending is on track to reach $803 billion in 2019 from today's $422 billion, and that would be dialed back. Even the $560 billion in reductions (which would be spread over 10 years and come from reducing payments to private Medicare advantage plans, reducing annual increases in payments to hospitals and other providers, and improving care so seniors are not readmitted to a hospital) is misleading: the House bill also gives Medicare $340 billion more over a decade. The money would pay docs more for office visits, eliminate copays and deductibles for preventive care, and help close the "doughnut hole" in the Medicare drug benefit, explains Medicare expert Tricia Neuman of the Kaiser Family Foundation.
The Top 5 Lies About Obama's Health Care Reform | Newsweek Health | Newsweek.com