Coruscation

Death Panels are Fiction, The case for, Part I

Right now, the charge that's gaining the most traction is the claim that health care reform will create "death panels" (in Sarah Palin's words) that will shuffle the elderly and others off to an early grave. It's a complete fabrication, of course. The provision requiring that Medicare pay for voluntary end-of-life counseling was introduced by Senator Johnny Isakson, Republican -- yes, Republican -- of Georgia, who says that it's "nuts" to claim that it has anything to do with euthanasia.

And not long ago, some of the most enthusiastic peddlers of the euthanasia smear, including Newt Gingrich, the former speaker of the House, and Mrs. Palin herself, were all for "advance directives" for medical care in the event that you are incapacitated or comatose. That's exactly what was being proposed -- and has now, in the face of all the hysteria, been dropped from the bill.

Yet the smear continues to spread. And as the example of Mr. Gingrich shows, it's not a fringe phenomenon: Senior G.O.P. figures, including so-called moderates, have endorsed the lie.

Senator Chuck Grassley, Republican of Iowa, is one of these supposed moderates

The case for, Part II

Painting the Giacometti-esque Emanuel as a creepy Dr. Death, Palin attacked him on her Facebook page a week ago, complaining that his "Orwellian thinking" could lead to a "death panel" with bureaucrats deciding whether to pull the plug on less hardy Americans. Never mind that Palin herself had endorsed some of the same end-of-life counseling she now depicts as putting Grandma down.

As the Democratic National Committee pointed out, Palin put out a 2008 proclamation for Healthcare Decisions Day "to raise public awareness of the need to plan ahead for healthcare decisions, related to end of life care ... and to encourage the specific use of advance directives to communicate these important healthcare decisions."

Consistency was long ago sent to a death panel in Palin world.

Part III:

The controversy over "death panels" is just the most extreme manifestation of this debate. Obviously, the Democratic plans wouldn't euthanize your grandmother. But they might limit the procedures that her Medicare will pay for. And conservative lawmakers are using this inconvenient truth to paint the Democrats as enemies of Grandma.