The Daily Caller

The Daily Caller

‘Real death panels’ set to face heat in Congress, courts

An often-overlooked portion of President Barack Obama’s prized health care law, the creation of the Independent Payment Advisory Board (IPAB), will face heat in the coming months from Congress and from the courts. Congressman Phil Roe, Tennessee Republican, told The Daily Caller the IPAB is the “real death panel” in the health care law, as compared to “end-of-life counseling” provisions in Obamacare that former Alaska Gov. Sarah Palin once deemed “death panels.”

“This one is the real baby right here – and most people missed this,” Roe told TheDC. “What everybody was talking about, when you saw Sarah Palin and so forth, what they were talking about these advanced directives where you sit down and there’s sort of mandatory counseling – and Medicare paid for it. This IPAB got missed – and it’s the real death panel.”

The board would cap the total amount of money Medicare recipients could get for care. Roe,  a practicing doctor before he entered politics, said that means health care decisions will end up being based solely on cost, instead of what the best possible option is for Medicare patients.

“Basically, there’s a certain amount of money that’s allocated for Medicare spending each year,” Roe said in a phone interview. “Once you hit that amount that’s been appropriated, this board, this bureaucratically-appointed board, can then decide, not based on quality or need, but based on strictly cost.”

Congress can recommend different spending amounts, but has to offset any increase in one area with a decrease in another. If Congress doesn’t change anything in the board’s “recommendations” for how much money should be spent per Medicare recipient, their recommendations become law – even without congressional approval or the president’s signature.

The Goldwater Institute, a conservative think tank based in Arizona, says the IPAB would, when implemented, have more control over Medicare payment rates than the “Federal Reserve has over banking or the Environmental Protection Agency has over the environment.” The institute is challenging the IPAB provision in the Obamacare legislation in the courts – and has countered the Obama administration’s motion to dismiss with a motion for summary judgment, which means the case is likely to move forward with some form of a judicial decision mid-summer.

Diane Cohen, the Goldwater Institute’s lead attorney on the lawsuit, told TheDC that of the more than 150 boards and commissions the health car law creates, she believes the “most notorious of those 150 boards is the Independent Payment Advisory Board.”

“There was a lot of controversy over it [IPAB] when Obamacare was being considered in Congress by both sides of the aisle,” Cohen said, referring to more than 50 Democrats who wrote to then-House Speaker Nancy Pelosi voicing their opposition to it. “It was very controversial and made its way into the law just because of the manner in which the whole law was passed to begin with. Even the American Medical Association, who has supported Obamacare for some reason, had come out and opposed the establishment of the Independent Payment Advisory Board.”

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  • truebearing

    Independent Payment Advisory Boards, Comparative Effectiveness committees, end of life counseling….all ironic components to the deceptively named Affordable Health Care lie cooked up by the Progressive culture of death.

    Our president is the face of a coup that is being conducted as we comment, by a coalition of leftist fanatics who hate capitalism, Christianity, white people, democratic republics, and freedom of any kind.

    Obama, our Mortician-In-Chief is presiding over the death of the United States, and his beloved Embalm-a-Care is a malignant mechanism for leveraging power over the national economy, as well as control over who lives and dies.

    The left plans to use the health care system to deviously attrit segments of the population they designate as useless, or worse, antagonistic to their agenda. And lets not forget the Environmental Religion, the cloaking device of the left, the leaders of which having decided that the ideal world population should be somewhere around 350 million. The nuttier enviro nuts want only 100 million people world wide.

    Using the health care system as a mechanism for eugenics is quite clever, profoundly evil, and efficient. It also provides the cover of being able to blame high health care costs for denying care to the old, sick, or conservative.

    No gulags or gas chambers are necessary for this incarnation of ruthless Progressives and Communists, when people can be stressed, starved, and then denied health care to death. The beauty is, the demographics work out so well for the evil left, since older people are more likely to be conservative and Christian. What luck! Denying them care eliminates costs and ideological enemies at the same time! Move over Hitler! This is much more subtle, and easier to defend in a trial than gassing grandma and grandpa to death.

    Sound paranoid? Why yes it does, but paranoia is the new hip. If you aren’t paranoid in this world, you haven’t been paying attention. As unpleasant a memory as it may be, remember that the Marxists of the 20th Century murdered over 150,000,000 people in the process of creating their “utopias”.

    Embalm-a-Care is classic leftist Procrustean method. The people who don’t fit in their rigid “utopia” are compared, counseled, and handed a glass of formaldehyde. This is health care in a leftist mortacracy.

    Welcome to Obama’s Grave New World.

    • pink

      “Sound paranoid? Why yes it does”

      You said it.

      Earth to truebearing: The only way to get from end of life counseling to eugenics, plots against the elderly Christians, and denying people care is by way of Mars — a planet I have to assume from your piece that you visit regularly.

      By the way, if you don’t know that the private health insurance makes decisions that condemns people to death, you’re the one not living in the real world.

      Couldn’t help but put in the claptrap about the Environmental Religion, could you? Ohhhhhh, scareeeee Druids, comin’ to get you. You may be nuts, but at least you’re consistently nuts.

      • riseabove

        Correct me if I’m wrong, but when one is insured in the private sector and they run into a medical situation that causes financial difficulties, would one not have the freedom to seek alternative options, whereas they would be completely at the mercy of bureaucratic decisions under Obamacide? You don’t think that’s a tad worrisome, Pink?

        Hollywood puts out movies like “John Q. Public” that demonizes insurance companies and suddenly bleeding heart Liberals come out of the woodwork demanding universal healthcare never even grasping how much more horrendous it would be to have yours or your loved one’s fates resting completely in the hands of government bureaucrats. While everyone may not have always been successful at seeking different ways to pay for medical costs, at least in the private sector set-up we have options, choices, alternatives. It appears the only ones who might be able to by-pass Obamacide would be Congressional Representatives and the rich. So basically, the Left is pushing us from the fire into the frying pan.

        • pink

          Please tell me exactly what “alternative options” as you say, one has “when one is insured in the private sector and…run[s] into a medical situation that causes financial difficulties.” I would love to hear your thoughts on this, and how people other than “the rich” can circumvent this system. While you’re at it, explain to me why, before the mortgage crisis and economic downturn, medical costs were the most common reason by far for personal bankruptcies.

          And then please show me, with an exact reference to the provision in the law, how how our healthcare options are “completely at the mercy of bureaucratic decisions under” Obamacare, and if so how this differs from what happens with profit-making, private sector insurance companies.

          And try being a little less condescending, will you? My opinions about healthcare costs and insurance are due in largest part to my own life experience. I am pretty sure than anyone who is root, root, rooting for the private health insurance industry either has an investment in it, does not pay for their own insurance, and/or has never had a real-life significant medical issue. You are welcome to prove me wrong. Even so, perhaps you draw your opinions from movies or out of books of theory, but don’t assume the rest of us do.

          • HoosYoDaddy

            Shouldn’t you be at a Code “Pink” rally violently protesting your Dear Leader’s new war, or chaining yourself to something, or are you waiting until he gets back from vacation?

          • riseabove

            The IPAB will include few physicians so most specialties won’t be represented. God forbid you develop skin lesions from the early onset of melanoma and there aren’t any dermatologists on the board. The new law prohibits the IPAB from recommending care rationing or benefit changes, but the panel could still impact patient access to care by circumventing the AMA/Specialty Society Relative Value Scale Update Committee process currently in place and reducing payments for specific procedures. Since 30 million more people will be added, we can be certain that patients will have fewer options as more and more specialty physicians are forced to retire.

            Contrarily, the privately insured patient has access to a lengthy list of charities they could appeal to should the need arise to help offset medical costs. They have many options to explore whereas the patient fully dependent on Medicare might have restrictions, limitations, rules and regulatations to abide by.

            I’ve spent as much time dealing with Medicare bureaucratic red-tape, and I’ve educated myself enough on this topic to know that I wholeheartedly support Obamacide being repealed and replaced. You can do your own research, Pink.

          • pink

            @ riseabove Your inability to point to provisions in the law that support your charges speaks for itself. Hot air.

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  • dolleybird

    There are already death panels in Washington State. Washington’s public health care plan offers assisted suicide when the cost of patient care becomes too high. A year or two ago, the state held a lottery for patients, because too many had applied for the public plan, and the money to pay for it was running out. A lottery! For health insurance! You can’t make this stuff up.