Old Reporter Finally Scared of an Administration

Former reporter for the Village Voice, lefty libertarian Nat Henthoff, expresses his fears about health care legislation now under discussion. . . . .

I am finally scared of a White House administration. President Obama's desired health care reform intends that a federal board (similar to the British model) — as in the Center for Health Outcomes Research and Evaluation in a current Democratic bill — decides whether your quality of life, regardless of your political party, merits government-controlled funds to keep you alive. Watch for that life-decider in the final bill. It's already in the stimulus bill signed into law.

. . . there is a July 29 Washington Times editorial citing a line from a report written by a key adviser to Obama on cost-efficient health care, prominent bioethicist Dr. Ezekiel Emanuel (brother of White House Chief of Staff Rahm Emanuel).

Emanuel writes about rationing health care for older Americans that "allocation (of medical care) by age is not invidious discrimination." (The Lancet, January 2009) He calls this form of rationing — which is fundamental to Obamacare goals — "the complete lives system." You see, at 65 or older, you've had more life years than a 25-year-old. As such, the latter can be more deserving of cost-efficient health care than older folks.

I have read that Edward Kennedy would not have qualified for treatment of his brain cancer under the guidelines of the British public system because of his age.

As the Washington Post's Charles Lane penetratingly explains. . . : the government would pay doctors to discuss with Medicare patients explanations of "living wills and durable powers of attorney … and (provide) a list of national and state-specific resources to assist consumers and their families" on making advance-care planning (read end-of-life) decisions.

Significantly, Lane adds that, "The doctor 'shall' (that's an order) explain that Medicare pays for hospice care (hint, hint)."

But the Obama administration claims these fateful consultations are "purely voluntary." In response, Lane — who learned a lot about reading between the lines while the Washington Post's Supreme Court reporter — advises us:

"To me, 'purely voluntary' means 'not unless the patient requests one.'"

But Obamas' doctors will initiate these chats. "Patients," notes Lane, "may refuse without penalty, but many will bow to white-coated authority."

My mother had a friend who set up an end-of-life plan with her attorney. Three friends were empowered to make decisions in her behalf if she were to become incapacitated. My mother has set up end-of-life plans involving family members. But the proposals in legislative bills will, over the years, lead to rules by unaccountable "experts" and bureaucrats.

I was alerted to Lanes' crucial cautionary advice — for those of us who may be influenced to attend the Obamacare twilight consultations — by Wesley J. Smith, a continually invaluable reporter and analyst of, as he calls his most recent book, the "Culture of Death: The Assault on Medical Ethics in America" (Published in 2002).

. . .Smith adds this vital advice, no matter what legislation Obama finally signs into law:

"Remember that legislation itself is only half the problem with Obamacare. Whatever bill passes, hundreds of bureaucrats in the federal agencies will have years to promulgate scores of regulations to govern the details of the law."

"This is where the real mischief could be done because most regulatory actions are effectuated beneath the public radar. It is thus essential, as just one example, that any end-of-life counseling provision in the final bill be specified to be purely voluntary … and that the counseling be required by law to be neutral as to outcome. Otherwise, even if the legislation doesn't push in a specific direction — for instance, THE GOVERNMENT REFUSING TREATMENT — the regulations could." (Emphasis added.)

Who'll let us know what's really being decided about our lives — and what is set into law? . . . .

Condemning the furor at town-hall meetings around the country as "un-American," Harry Reid and Nancy Pelosi are blind to truly participatory democracy — as many individual Americans believe they are fighting, quite literally, for their lives.

Mr. Henthoff has spoken out about actual and potential abuses of power by government many times in the past. If this is the one issue which has really scared him, he might be worth listening to.

Benjamin Franklin on the dangers of a salaried bureaucracy.