The intense debate surrounding health care reform is following lawmakers home this month as they depart Washington for the August recess with a reform bill in limbo.
Over the course of the past few months, the rhetoric frcom both the left and the right, from politicians and activists, has been heated and sometimes misleading. With a month with nothing to do but argue, both sides are sure to keep up the partisan and potentially deceitful messages.
"The more complicated an issue is, the more easily one can twist and distort the facts about it, and health care is as complicated as they come," said Brooks Jackson, a veteran journalist and now the director of FactCheck.org. His organization, a nonpartisan, nonprofit project of the Annenberg Public Policy Center of the University of Pennsylvania, tracks the factual inaccuracies and misleading statements that thread through political communications.
"A lot of the misstatements have stuck with the public," Jackson said. "We're talking about one sixth of the economy and one bill more than 1,000 pages long, so it definitely lends itself to distortion and fear-mongering."
It can be complicated for citizens who simply want to follow the issue and know the facts. Here is a look at 10 myths being told by both sides of the debate, and the reality.
1. The House Health Care Bill Mandates or Encourages Euthanasia
At a tele-town hall meeting with members of the senior advocacy group AARP last month, President Obama could not help but describe one question he received as "kind of morbid."
"I have been told there is a clause in (the health care bill) that everyone that's Medicare age will be visited and told to decide how they wish to die," said a caller named Mary from North Carolina. "This bothers me greatly, and I'd like for you to promise me that this is not in this bill."
There is nothing in any health care reform bill before Congress that would require people to "decide how they wish to die." Conservative talking points from activists and legislators, however, would suggest otherwise.
This rumor gained traction in large part because of comments from former Republican lieutenant governor of New York Betsy McCaughey. On a radio show on July 16, McCaughey said she had read the bill and discovered that "Congress would make it mandatory... that every five years, people in Medicare have a required counseling session that will tell them how to end their life sooner, how to decline nutrition, how to decline being hydrated, how to go into hospice care... all to do what's in society's best interest... and cut your life short."
House Republican Leader John Boehner (R-Ohio) and Republican Policy Committee Chairman Thaddeus McCotter (R-Mich.) put out a statement on July 23 that suggested as much.
"Section 1233 of the House-drafted legislation encourages health care providers to provide their Medicare patients with counseling on 'the use of artificially administered nutrition and hydration' and other end of life treatments, and may place seniors in situations where they feel pressured to sign end of life directives they would not otherwise sign," they said. "This provision may start us down a treacherous path toward government-encouraged euthanasia if enacted into law."
In fact, section 1233 of the House bill would allow Medicare for the first time to cover patient-doctor consultations about end-of-life planning, including discussions about drawing up a living will or planning hospice treatment. Patients would, of course, seek out such advice on their own -- they would not be required to. The provision would limit Medicare coverage to one consultation every five years.
2. Americans Will Lose Their Private Insurance
A prevalent conservative talking point is that the proposed government-sponsored health insurance plan, or "public option," could drive private insurers out of business and that millions of Americans would lose their current health insurance.
In a letter to the president in June, nine Senate Republicans from one of the committees responsible for health care said "forcing free market plans to compete with these government-run programs would create an unlevel playing field and inevitably doom true competition." The letter cites a study by the Lewin Group that shows that if Medicare payment levels were used in the public plan, premiums would be up to 30 percent less than premiums for comparable private coverage, potentially prompting more than 119 million people to switch from private to public insurance if the plan were open to everyone. The Republican letter characterized this shift in care as "119.1 million Americans losing their private coverage."
In fact, that figure represents Americans who would presumably change their plans voluntarily. The bill does not force private insurers out of business or force people onto the public plan.
Moreover, that large number represents what shift may occur if the public plan were open to everyone. The legislation in both the House and the Senate, however, would actually prohibit many people with employer-based insurance from switching to the public option, even if they wanted to.
The CBO, in fact, estimates the House bill would result in a net increase of 3 million Americans with employer-provided care.
3. You Will Be Able to Keep Your Plan
"Here's a guarantee that I've made," the president said at the AARP tele-town hall conference. "If you have insurance that you like, then you will be able to keep that insurance."
Democrats would indeed compel employers to continue to shoulder some of the cost burden of health care by creating a "pay or play" mandate, requiring companies to either provide insurance for their workers or pay a fine. However, employer coverage would have to meet certain requirements; for example, plans would not be allowed to charge co-pays for preventive care. It is possible some companies would have to alter their coverage, or would instead choose to drop their coverage all together and pay a fine.
When the self-described fiscally conservative Blue Dog Democrats negotiated a compromise with Democratic leadership over certain elements of health care reform, they won headlines such as "House Democrats Trim $100B from Health Bill."
"I think, rightly, a number of these so-called Blue Dog Democrats -- more conservative Democrats -- were concerned that not enough had been done on reducing costs," Mr. Obama said in an interview with CBS News.
Indeed, the Blue Dogs convinced their Democratic colleagues to cut government costs by reducing the amount the government will spend in subsidies to make health care more affordable for low- and middle-income Americans. The compromise also shifts some of the cost of expanding Medicaid from the federal government to the states.
However, the compromise also would require the government-sponsored health insurance option that would be created to negotiate its own payment rates, rather than using Medicare payment rates. This would create a more level playing field for private insurers, Blue Dogs said. The compromise also exempts more small businesses from the "pay or play" mandate, giving businesses a smaller share of the cost burden.
Politico reported that, according to a CBO preliminary analysis, the cost of those two changes would almost completely offset the $100 billion achieved in savings.
"Allowing doctors and other health care providers to negotiate rates with the government under a public option would cost the government about $60 billion, according to a preliminary CBO estimate," Politico reported. "And exempting small businesses with a combined salary of $250,000-a-year to $500,000-a-year would cost the government $30 billion, according to the same estimates."
5. The Health Care Legislation Mandates Taxpayer Dollars Pay for Abortions
Anti-abortion rights advocacy groups and legislators alike have complained that the health care legislation includes a "hidden abortion mandate," as some congressmen have put it.
5160169In late June, 19 Democrats sent a letter to House Speaker Nancy Pelosi calling the issue a deal-breaker. "Plans to mandate coverage for abortions, either directly or indirectly is unacceptable," they wrote.
The letter specifically referred to the "essential benefits package" a Health Benefits Advisory Committee and the Secretary of Health and Human Services would be responsible for defining. Nothing in the legislation, however, has "mandated" that abortion services be included in the benefits package.
In fact, the House Energy and Commerce Committee on Thursday adopted an amendment, proposed by Rep. Lois Capps (D-Calif.), that would prohibit taxpayer dollars from funding abortions. The amendment would not allow the federal government to either require or prohibit abortion coverage by private insurers. It requires at least one plan from the federal health insurance exchange in each region of the country to cover abortion, and at least one of the plans to not cover abortion.
"Private health care providers are free to cover abortion, but not with federal funds," reports Dan Gilgoff of U.S. News and World Report. "The public plan would cover abortion, but not with federal funds; a Capitol Hill aide tells me money for abortions would come from what participants pay into the public plan."
It has yet to be determined how this issue will finally be settled.
Mr. Obama told CBS Evening News anchor Katie Couric in July that "I'm pro-choice, but I think we also have the tradition in this town, historically, of not financing abortions as part of government-funded health care."