Wednesday, January 5, 2011

They're Back! The Return of the Death Panels

They were supposed to be gone. They were supposed never to have existed. Remember the foofaraw over the part of ObamaCare that was going to have Medicare finance, uh, consultations about end-of-life treatment? They soon were dubbed death panels. The name stuck, and every time advocates of the idea derided it -- untrue! fictional! absurd! wholly imaginary! -- they only gave it more currency.

Which term do you prefer, end-of-life counseling or death panels? It makes quite a difference when discussing the issue. Because when it comes to a political conflict, vocabulary remains the Little Round Top of every engagement, the strategic height that determines the outcome of the battle. And any mention of death tends to, well, kill off enthusiasm for a proposal. Whether we're talking death panels or the death tax. (Its advocates much prefer to speak of the estate tax even if it's the same thing.) Why be blunt? Especially if it's going to cost your side of the debate votes.

Awkward facts must be sidestepped, euphemisms invented. The way abortion has become Choice. Names count; what a proposal is called may determine whether it ever gets into law. And so the death panels/end-of-life consultations had to be dropped from the final version of ObamaCare, which goes by an official euphemism of its own: the Patient Protection and Affordable Care Act (PPACA) of 2009. And its Section 1233 raised concerns that the patient might be protected to death
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When fascism comes to America, it will be wrapped in the flag and carrying the cross.

Sinclair Lewis

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