CLAIM: The House
bill "may start us down a treacherous path toward
government-encouraged euthanasia," House
Republican Leader John Boehner of Ohio said July
23.
Former
New York Lt. Gov. Betsy McCaughey said in a July 17 article:
"One troubling provision of the House bill compels seniors to
submit to a counseling session every five years ... about
alternatives for end-of-life care."
THE FACTS: The bill
would require Medicare to pay for advance
directive consultations with health care professionals. But it would
not require anyone to use the benefit.
Advance directives
lay out a patient's wishes for life-extending measures under
various scenarios involving terminal illness, severe brain
damage and situations. Patients and their families would
consult with health professionals, not government agents, if
they used the proposed benefit.
CLAIM:
Health
care revisions would lead to government-funded
abortions.
Tony Perkins of the
Family Research Council says in a video, "Unless Congress states
otherwise, under a government takeover of health care, taxpayers
will be forced to fund abortions for the first time in over three
decades."
THE FACTS: The
proposed bills would not undo the Hyde
Amendment, which bars paying for abortions through Medicaid,
the government insurance program for the poor. But a health care
overhaul could create a government-run insurance program, or
insurance "exchanges," that would not involve Medicaid and whose
abortion guidelines are not yet clear.
Obama recently told
CBS that the nation should continue a tradition of "not financing
abortions as part of government-funded health care."
The House Energy
and Commerce Committee amended the House bill Thursday to state
that health insurance plans have the option of covering abortion,
but no public money can be used to fund abortions. The bill says
health plans in a new purchasing exchange would not be required to
cover abortion but that each region of the country should have at
least one plan that does.
Congressional action this fall will determine whether such
language is in the final bill.
CLAIM: Americans won't have to change doctors or insurance
companies.
"If you like your plan and you like your doctor, you won't have
to do a thing," Obama said on June 23. "You keep your plan; you
keep your doctor."
THE FACTS: The proposed legislation would not require people to
drop their doctor or insurer. But some tax provisions, depending on
how they are written, might make it cheaper for some employers to
pay a fee to end their health
coverage. Their workers presumably would move to a public
insurance plan that might not include their current doctors.
CLAIM: The Democrats' plans will lead to rationing, or the
government determining which medical procedures a patient can
have.
"Expanding government health programs will hasten the day that
government rations medical care to seniors," conservative writer
Michael Cannon said in the Washington Times.
THE FACTS: Millions of Americans already face rationing, as
insurance companies rule on procedures they will cover.
Denying coverage for certain procedures might increase under
proposals to have a government-appointed agency identify medicines
and procedures best suited for various conditions.
Obama says the goal is to identify the most effective and
efficient medical practices, and to steer patients and providers to
them. He recently told a forum: "We don't want to ration by
dictating to somebody, 'OK, you know what? We don't think that this
senior should get a hip replacement.' What we do want to be able to
do is to provide information to that senior and to her doctor
about, you know, this is the thing that is going to be most helpful
to you in dealing with your condition."
CLAIM: Overhauling
health care will not expand the federal deficit over the long
term.
Obama has pledged
that "health
insurance reform will not add to our deficit over the next
decade, and I mean it."
THE FACTS: Obama's
pledge does not apply to proposed spending of about $245 billion
over the next decade to increase Medicare fees for doctors. The
White House says the extra payment, designed to prevent a
scheduled cut of about 21 percent in doctor fees, already was part
of the administration's policy.
Beyond that, the nonpartisan
Congressional Budget Office said the House bill lacks
mechanisms to bring health care costs under control. In response,
the White House and Democratic lawmakers are talking about creating
a powerful new board to root out waste in government health
programs. But it's unclear how that would work.
Budget experts also
warn of accounting gimmicks that can mask true burdens on the
deficit. The bipartisan Committee for a Responsible Federal Budget
says they include back-loading the heaviest costs at the end of the
10-year period and beyond.