GOP backs away from end-of-life counseling
GOP backs away from end-of-life counseling
by BEN EVANS
WASHINGTON - Until last week, Republican Sen. Johnny Isakson was among the most enthusiastic backers of end-of-life counseling in government health care programs like Medicare.
That was before conservatives called it a step toward euthanasia and former Alaska Gov. Sarah Palin likened the idea to a bureaucratic “death panel” that would decide whether sick people get to live. And even though those claims have been widely discredited, the issue remains a political weapon in the increasingly bitter health care debate.
Now, Isakson and other Republicans who eagerly backed the idea are distancing themselves from it or lying low in the face of a backlash from the right.
“Until last week this was basically a nonpartisan issue,” said John Rother, executive vice president for policy at AARP, the seniors lobbying group. “People across the political spectrum recognize that far too often people’s wishes aren’t respected at the end of life and there is a lot of unnecessary suffering.”
The idea for government-backed end-of-life counseling , while delicate given the subject matter , has garnered significant consensus on Capitol Hill, fueled in part by cases such as that of Terri Schiavo, whose divided family fought for years over whether she would want to be kept alive in a vegetative state.
Just a year ago, Congress overwhelmingly approved legislation requiring doctors to discuss issues like living wills and advance directives with new Medicare enrollees. And the government already requires hospitals and nursing homes to help patients with those legal documents if they want support, under a 1992 law passed under Republican President George H.W. Bush.
Supporters say the current House proposal just goes one step further by paying for the counseling, with the idea that doctors and patients would spend more time on it instead of just having a cursory discussion in an initial Medicare visit. The counseling is voluntary.
Isakson and other Republicans such as Sens. Richard Lugar of Indiana and Susan Collins of Maine have co-sponsored legislation in recent years promoting the counseling, including in initial Medicare visits and through a proposed government-run insurance program for long-term care.
In the House, Republican Reps. Charles Boustany of Louisiana, Geoff Davis of Kentucky and Patrick Tiberi of Ohio co-sponsored legislation from Rep. Earl Blumenauer, D-Ore., that would authorize Medicare to pay for the counseling. That measure served as a model for the current House language.
Earlier this summer, Isakson sponsored an arguably more far-reaching measure that would have required that new Medicare patients have a living will or other advance directive.
But the Georgia conservative found himself in a storm of criticism when President Barack Obama said at a town hall meeting this week that Isakson was a chief architect of the House approach. Isakson quickly issued a statement repudiating the proposal.
“The House provision is merely another ill-advised attempt at more government mandates, more government intrusion and more government involvement in what should be an individual choice,” he said.
Pressed later to explain his opposition, Isakson and his spokeswoman, Joan Kirchner, said he doesn’t like the fact that the House bill would expand Medicare costs by paying for the consultations and giving doctors an incentive to conduct them. He also said the House bill is too specific in detailing what must be discussed in the sessions.
“There are similarities … but there are substantial difference,” Isakson said. “I’m not running away from anything but I’m not going to accept the president of the United States telling people I wrote something that I didn’t.”
Isakson, who initially called Palin’s “death panel” characterization “nuts” in an interview Monday, declined later in the week to criticize Palin’s statement, in which she said the measure would force people like her baby Trig, who has Down syndrome, “to stand in front of Obama’s ‘death panel’ so his bureaucrats can decide … whether they are worthy of health care.”
“The best I can read she’s applying the House bill and using her child with Down syndrome as an example,” Isakson said. “I would never question anyone’s defense of their child.”
Spokesmen for Lugar and Collins , two other longtime proponents of end-of-life planning , declined to comment on the House bill……..
http://www.philly.com/philly/wires/ap/news/politics/20090815_ap_gopbacksawayfromendoflifecounseling.html