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    Look how Grassley repays Obama's compliments (updated)

    by: desmoinesdem

    Wed Aug 12, 2009 at 15:31:37 PM CDT


    At yesterday's town-hall meeting in New Hampshire, President Barack Obama had nice things to say about Senator Chuck Grassley:

    "Now, I think that there are some of my Republican friends on Capitol Hill who are sincerely trying to figure out if they can find a health care bill that works - Chuck Grassley of Iowa, Mike Enzi of Wyoming, Olympia Snowe from Maine have been - yes, I got to admit I like Olympia, too. They are diligently working to see if they can come up with a plan that could get both Republican and Democratic support."

    In addition, Thomas Beaumont of the Des Moines Register noticed that Organizing for America is not mobilizing Obama's supporters to show up at Grassley's town-hall meetings in Iowa. Instead, Organizing for America is trying to drive turnout to events hosted by Iowa's Democrats in Congress.

    Grassley's holding four public events today, and @iahealthreform is helpfully liveblogging them on Twitter. Look at how Grassley talks about health care reform and tell me whether Obama should praise Grassley's efforts.

    desmoinesdem :: Look how Grassley repays Obama's compliments (updated)
    Grassley told a crowd in Afton that the U.S. has the best health care system in the world and that he won't nationalize healthcare or "do anything that allows Washington between a doctor and you." Grassley also claimed that Obama "is pursuing a partisan bill." While in Winterset, Grassley promoted the latest bogus Republican talking point about killing Granny.

    Yes, he went there. Iowa Independent has more:

    "In the House bill, there is counseling for end of life," Grassley said. "You have every right to fear. You shouldn't have counseling at the end of life, you should have done that 20 years before. Should not have a government run plan to decide when to pull the plug on grandma"

    A few hours later in Panora, Grassley did it again:

    I don't want the government involved in end of life decisions. I'm not going to decide to plug the plug on grandma.

    Never mind that even Republican Senator Johnny Isakson of Georgia has denounced this paranoid reading of a provision that "empowers you to be able to make decisions at a difficult time rather than having the government making them for you." Never mind that the Iowa legislature has already passed (with bipartisan support) a provision to encourage people to create living wills.

    Grassley's involvement in health care negotiations cannot improve whatever bill emerges. He could be negotiating in bad faith so that delays prevent Democrats from passing health care reform through budget reconciliation. (Grassley told the Panora crowd that he's in negotiations, but "things can fall apart at any time.")

    Alternatively, Grassley could be negotiating in good faith to produce a bipartisan bill with no meaningful public option. An individual mandate to buy overpriced private insurance, with no public plan to compete, would be a gravy train for private insurers. I agree with Daniel De Groot that the failure of Grassley and other conservatives to oppose an individual mandate shows what an "utter sham and fraud" movement conservatism is.

    It's past time for the president to stop praising the Republicans whom Senate Finance Committee Chairman Max Baucus is bending over backwards to accommodate. No matter how many nice things Obama says about Grassley, Grassley will repeat Frank Luntz's talking points on health care and keep trying to move the bill to the right.

    What Chris Bowers wrote two months ago is still true:

    the goal of health care legislation is to reduce the cost of health care and increase access to health care. By contrast, the goal of bipartisanship is to get Democrats and Republicans to agree with each other. Those are different goals with no inherent connection. [...]

    The purpose of bipartisanship is so that, in the event that you pass legislation that is unpopular and / or does not end up working, then it is impossible to take all of the blame for it.

    That is the purpose of bipartisanship in health care reform legislation. Not reducing costs or increasing access.

    Obama should start drawing lines in the sand. If the president wants "a health care bill that works," he should be clear about what that bill must contain. Hoping for some Republican votes isn't going to cut it.

    UPDATE: Representative Bruce Braley issued the following statement:

    Wednesday August 12, 2009

    Braley Statement Reacting to Grassley Claim on End-of-Life Care in Healthcare Reform Bill

    Washington, DC - Rep. Bruce Braley (D-Iowa) released the following statement in reaction to comments made by Iowa Senator Charles Grassley at a town hall in Winterset, Iowa, today regarding provisions on end-of-life care in healthcare reform proposals being considered by Congress:

    "I'm shocked that Senator Grassley would reinforce the ridiculous claim that paying doctors to discuss end-of-life care with their patients is somehow 'pulling the plug on grandma.'  This comment is demeaning to seniors who want the choice of consulting with their doctor about important end-of-life healthcare decisions.  Now is the time for a rational discussion of healthcare concerns, not a time to spread fear among seniors," said Braley.

    Numerous organizations have debunked as false the claim that the government would make end-of-life decisions on behalf of seniors. Provisions in healthcare reform proposals merely allow Medicare to reimburse healthcare providers for multiple end-of-life care consultations, allowing seniors greater choices and flexibility in their care.  

    ·         Republican Senator Johnny Isakson (R-GA) stated: "How someone could take an end of life directive or a living will as [euthanasia] is nuts... The problem you got is that there's so much swirling around about health care and people are taking bits and pieces out of this. This was thoroughly debated in the Senate MVP. It's voluntary. Every state in America has an end of life directive or durable power of attorney provision." [Washington Post, 8/11/09]  

    ·         AARP stated: "This measure would not only help people make the best decisions for themselves, but also better ensure that their wishes are followed... To suggest otherwise is a gross, and even cruel, distortion..." [7/24/09]

    ·         USA Today stated: "...lies appear to be in full sprint as the nation's health care debate goes local... In this case it's a section of a House bill inserted by members of both parties to allow Medicare to pay doctors for optional end-of-life counseling, something that's already covered in a new patient's first Medicare visit... But critics have twisted this into a sinister, cost-saving plot by the government to force seniors to end their lives early... Neutral arbiters have rightly demolished this." [USA Today, 8/10/09]

    ·         The Associated Press stated: "Nothing in the legislation would carry out such a bleak vision. The provision that has caused the uproar would instead authorize Medicare to pay doctors for counseling patients about end-of-life care, if the patient wishes."  [AP, 8/11/09]

    ·         Factcheck.org stated: "The claim that the House health care bill pushes suicide is nonsense."

    The Iowa Senate Democrats also issued a long statement with details about the "end-of-life care" provision that passed the legislature in 2008 with large bipartisan majorities in both houses (including Chuck Grassley's grandson, State Representative Pat Grassley). Radio Iowa posted the full release, which includes the relevant portions of House File 2539. Here is an excerpt:

    Statement by Iowa State Senator Joe Bolkcom, chair of the Iowa Senate Ways and Means Committee and former member of the Iowa Health Care Reform Commission

    "U.S. Senator Chuck Grassley today disappointed the vast majority of Iowans when he engaged in the lowest form of political mudslinging by repeating the vicious slur that health reform may 'pull the plug on grandma.'

    "Here are the facts.  The provisions in the health reform bill approved by the U.S. House of Representatives which extremists have mischaracterized as "death panels" refer to helping patients, families and their doctors develop living wills.  As anyone honestly dealing with health care issues knows, living wills are a wise way for patients to manage their end-of-life care and make sure their dignity and wishes are respected.

    "Senator Grassley should understand the value of this legislation.  If he has sincere concerns, he could ask his grandson about the issue.  Pat Grassley, who now holds Senator Grassley's former seat in the Iowa House of Representatives, voted in 2008 for the same legislation that Senator Grassley now calls pulling the plug on grandma.

    "Is Senator Grassley, said to be the leading Senate Republican on health reform, so misinformed that he honestly believes this outrageous distortion?  If so, then I question his ability to ever make an informed judgment on the health needs of Iowans.

    "However, I don't think Senator Grassley is misinformed.  I think it is more likely that he has decided to pander to the most extreme members of the Republican base by repeating outlandish statements that he knows to be false.

    "Today, at Iowa town meetings which were closely followed by the national media, Senator Chuck Grassley let down the majority of Iowans who want real health insurance reforms, reforms that will bring them lower costs, more choices, and protection from insurance company abuses."

    FACT: On April 25, 2008, Senator Grassley's grandson VOTED for similar "end-of-life care" legislation in the Iowa Legislature

    In 2008 the Iowa Legislature overwhelmingly approved House File 2539, a major health reform bill that was later signed into law by Governor Chet Culver.  [...]

    The legislation included a section titled "End-of-Life Care."  In this section the Iowa Department of Public Health was directed to consult with various medical and advocacy organizations to "develop educational and patient-centered information on end-of-life care for terminally ill patients and health care professionals."  It also directed the Iowa Department of Elder Affairs to develop a long-term care options public education campaign.  

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    winning issue (4.00 / 1)
    Should not have a government run plan to decide when to pull the plug on grandma

    I guess we could all run on this platform.

    Never mind that even Republican Senator Johnny Isakson of Georgia has denounced this paranoid reading of a provision that "empowers you to be able to make decisions at a difficult time rather than having the government making them for you." Never mind that the Iowa legislature has already passed (with bipartisan support) a provision to encourage people to create living wills.

    I don't know what the IA legislature has done, but what ppl are objecting to is the govt promoting extra $$ for doctors who promote this counseling.

    My opinion is that it's politically tone-deaf to promote this while championing cost cutting. Isakson has made a distinction between paying for the service when requested voluntarily vs providing incentives for doctors to promote the counseling.

    Even Eugene Robinson, one of Obama's biggest supporters from day one, says:


    That's the reason people are so frightened and enraged about the proposed measure that would allow Medicare to pay for end-of-life counseling. If the government says it has to control health-care costs and then offers to pay doctors to give advice about hospice care, citizens are not delusional to conclude that the goal is to reduce end-of-life spending. It's irresponsible for politicians, such as Sarah Palin, to claim -- outlandishly and falsely -- that there's going to be some kind of "death panel" to decide when to pull the plug on Aunt Sylvia. But it's understandable why people might associate the phrase "health-care reform" with limiting their choices during Aunt Sylvia's final days.

    Behind a Rage, a Cold Reality.

    Alternatively, Grassley could be negotiating in good faith to produce a bipartisan bill with no meaningful public option. An individual mandate to buy overpriced private insurance, with no public plan to compete, would be a gravy train for private insurers.

    While I agree, I have yet to see any bill offer what you propose.

    I'd like to see a transcript, not tweets, before trying to figure out Grassley's intentions. Granted, I expect to be disappointed.

    Obama should start drawing lines in the sand. If the president wants "a health care bill that works," he should be clear about what that bill must contain.

    True.  
     


    just watched a youtube (0.00 / 0)
    He does say it, kind of as an "in summary" statement. Demerits for "pulling the plug."

    Ha-ha, he strongly suggests that he has some fellow senators who wouldn't mind seeing grandma go a little sooner instead of "lying there w/ tubes." He won't name names. Do we believe him?

    Democrats could solve this overnight by simply putting forth a coherent proposal with a method to pay for it (preferably a progressive tax, from my POV).


    [ Parent ]
    always with the soft spot (4.00 / 2)
    for Grassley!

    I will bet that the Senate Finance Committee bill ends up as AHIP's dream: individual mandate to buy private insurance with no public option except for something fake like regional co-ops.

    Creating a living will is a good idea for everyone, so that individuals can spell out what they would like their families to do if they become incapacitated. My father did some estate planning and always encouraged people to fill out a medical power of attorney and a living will. No one has to put do not resuscitate orders in a living will.

    The truth is that patients who live their final days in hospice have a better quality of life at the end than those who are in ICUs. I can't count the number of families I know who have asked for memorial gifts to be sent to the hospice where the loved one was at the end. Not everyone has to choose hospice, but they should learn what hospice care means before they ever get sick so they can have some basis for informed decisions.

    Invite other Iowa political junkies to join us at Bleeding Heartland.


    [ Parent ]
    yep, (4.00 / 1)
    hearting Grassley

    I can mark the day. It was when Grassley harassed the p**n downloaders at NSF. Try sharing a TA/RA/PD office with some of these losers and get back to me.

    The truth is that patients who live their

    In polling, the govt is losing to the insurance companies, see? Many people are skeptical of the government. It's not like our govt has a blemish-free history when it comes to experimenting for "the common good." I think this has been handled poorly.

    I will bet that the Senate Finance Committee bill ends up as AHIP's dream: individual mandate to buy private insurance with no public option except for something fake like regional co-ops.

    I 100% agree. Here is the problem. Isn't it just common sense that the reason Obama has been soooooo patient w/ Baucus/Grassley is because their plan is what he'll sign on to?

    Then, the professional capitulators and courtiers will do their "we'll fix it in conference" nonsense -- as if.

    I would rather start over then see the AHIP/RomneyCare plan pass.

    p.s. If you want govt health benefits, get a govt job. This isn't pro-Grassley, it's just how it is. Are Dems offering anything better? Not at all. In fact, I happen to think that preserving all of these "special classes" is a major weakness of reform.



    [ Parent ]
    speaking of the devil! (4.00 / 3)

    Industry lobbyists and moderate Democrats in both chambers, though, argue that the White House's actions behind the scenes show a recognition that the finance panel's anticipated compromise is the most likely template for any final legislation.

    ...

    Still, industry lobbyists say they are not worried. "We trust the White House," Mr. Kahn said. "We are confident that the Senate Finance Committee will produce a bill we fully can endorse."

    unpleasant linky


    [ Parent ]
    Now THAT'S the Obama.. (4.00 / 1)
    I was warned about....

    Che! Che! Che Guevara!! El gobierno a la chingada!!

    [ Parent ]
    Just got off phone with Grassley aid... (4.00 / 3)
    the one specifically in charge of Finance Committee issues.  I have to give her credit for giving me lots of her time and answering my questions.  She was, obviously, evasive but polite.

    She said:

    Don't take last line "out of context".
    Grassley opposes any gov involvement in eol planning.
    Emphasized gov training of counselors.
    Agreed there will be no such thing as "death panels".
    Agreed that no plan for gov to "make" decisions, but wants no involvement at all.
    Agreed there's misinformation, said constituents will have to decide for themselves whether Sen contributed to misinfo and stoked fears or informed people.
    Wouldn't say he could have been more clear bout specifics.

    Spoke to her for about 15-20 mins.  I wish I'd known then that S. 464, bipartisan cosponsored by Isakson and Collins, was referred to Finance in 07.  She wouldn't say whether Grassley supported Isakson's Senate Bill (tried to divert by saying people were confused bc Isakson couldn't sponsor a bill in House).  Grassley's on Finance (was in 07 too, no?) so he should have had a position on S. 464 since it was in his committee.  Would like to have pressed harder and named the bill.  Hope someone can corner him on this at a townhall or (yeah right) a reporter actually doing their job.


    thanks for making that call (0.00 / 0)
    and asking informed questions. I'm sure the wingnuts are burning up his phone lines, so his staff need to hear from us.

    Invite other Iowa political junkies to join us at Bleeding Heartland.

    [ Parent ]
    Let's face it... (0.00 / 0)
    The Amerika we grew up in is gone.  I think a lot of your readers would agree with me, and say, "Good riddance".

    And I have to give kudos to Pat Robertson, he is the only one who has pretty much come right out and said it.

    Look at the facts.  White folks are scared.  Ammunition sales are through the roof, and most common handgun ammunition is being rationed at gun stores if it is available at all.  Most cons and neo-cons say this is because of a fear of Obama banning sales of guns and ammunition.

    Bullshit.

    This is a fear of a black man being in the White House, and the fears of a race war are driving whites with racist tendencies over the edge.  

    "Pulling the plug on Granny" just gives them a forum to vent their fears without really confronting the elephant in the room.

    Ok, so that's my two cents worth.

    Got other fish to fry, like why are we bombing the shit out of Pakistan and Afghanistan, why did Obama basically limit our nuclear arsenal reductions to the limits put in place by Shrub, and cetera???

    Che! Che! Che Guevara!! El gobierno a la chingada!!


    This may apply (0.00 / 0)
    to some of it, but not all of it.

    In fact, I would say Eugene Robinson (who is black) stepped up in the WP to defend the fears precisely because it's not exclusively limited to angry "birthers" with guns. In a word: Tuskegee. Historically, it has always been minorities who have been the least trustful of govt.

    The Amerika we grew up in is gone.

    I wish. Do you mean because there's a non-white face in a high place?

    If that were the case, health care reform would primarily be a Great Society program to target the most impoverished communities in urban areas, which, as has been shown, happen to be consuming the most health care dollars.

    Instead, we're talking about ideas like shifting funding away from these areas.

    Personally, I resent it that birthers and gun nuts are getting all the face time. The Q-poll from Aug 6th is one of the few that has a racial breakdown on "Do you approve or disapprove of the way Barack Obama is handling health care reform?"

    White: 32-59-9
    Hispanic: 54-42-4
    Black: 76-13-11

    And that was before this past week, where according to two polls, support has slipped a bit.

    Any slippage in the Black/Hispanic numbers means health care reform is dead for a good long time. So, perhaps we can spend less time worrying about the fringe edges and address everyone else.


    [ Parent ]
    I doubt if we will get much... (4.00 / 1)
    if anything out of Congress in the end.  I know Grassley is simply pandering to his base.  I had high hopes and worked my ass off when Hilary pushed this agenda, but now, I'm done.

    I didn't say Amerika is gone, simply the one we grew up in.
    The wind blows cold and nasty in my recent travels around the country.  Seriously cold.  Even scarier than when I found myself listed as a "credible threat to national security" in some DoD Talon intelligence report, and ended up in Leavenworth. Cold stares and dead eyes, storm clouds brewing. Have a feeling we may even end up looking back on the G. W. Bush years with some fondness after this all shakes out with the neo neo-cons.

    Obama "the great community organizer" is pretty much a myth anyway. Spent waaaay too much time in Chicago around the turn of the century, and waaaaay too much time chatting with Rev. Jeremiah Wright this summer when he was in town to have any illusions Obama cares about anything but power and future support for Barack Obama at this point.

    I wish the Dems did have something more coherent than they seem too, and maybe the birthers with guns would lose some of their face time.

    Dunno, sick of it. Deliver a concrete, realistic, study bill that I can read, then I'll get back to you...

    And we didn't get anything resembling health care reform when Clinton went for it either.  Just an "aaah, shucks, well, we tried and failed, darn their conservative hide".

    I expect nothing less this time.

    And don't blame me, blame FOX, they're the idiots pumping this up.  

    Che! Che! Che Guevara!! El gobierno a la chingada!!


    [ Parent ]
    Fox, (4.00 / 1)
    and MSNBC ... CNN ... etc. As long as the focus is on "birthers," others don't get through, like scientists, doctors, more diverse voices from the middle.

    I can't wait to see pharma's $150 mill ad campaign, accompanied by "progressive" baton twirlers.

    The only thing that can stop AHIP-RomneyCare at this point is more bad economic news that brings a more diverse set of voices to the forefront, to the point where the grumbling can't be dispatched as angry birthers and cranks.

    The wind blows cold and nasty

    People are angry because they see a bailout for Wall St, while the jobs aren't coming back for (especially) blue-collar men. You definitely have a slice expressing their resentment in racial terms, and they'll continue to get all the attention to ensure less sympathy. And law enforcement will get a green flag to take care of the discontent. It's not going to be pretty.


    [ Parent ]
    green light (4.00 / 1)
    I need to stop multitasking.

    [ Parent ]
    I Think Grassley Shot Himself in the Foot (4.00 / 1)
    Corporate media has been saying how Grassley was basically talking to his "very conservative constituents in Iowa." Fine, but he does that at his own risk. Sure, there are ultra-conservative pockets in (mainly rural) Iowa, and sure, there are some really stupid ultraconservative bigwigs, but do they outnumber the people who voted overwhelmingly for Obama in '08 and people voted in Braley and Loebsack.
    I think Iowa has moved firmly into the liberal column these past few years, and I think Grassley might very well have a tight race on his hands. People remember the bailout, the bankruptcy bill ("Deadbeats!" "They're deadbeats!" Remember that?). There are lots of clips of Grassley acting like a horse's patoot these last few years, and I hope his Democratic opponent takes the gloves off.  

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