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Richard Allen Smith

Richard Allen Smith

Posted: August 26, 2009 11:55 AM

Arlen Specter and the Terrible, Horrible, No Good, Very Bad VA "Death Book" Circus

What's Your Reaction?

Poor Arlen Specter just keeps eating it on this ridiculous VA "death book" media circus. Feigned outrage is the right's favorite tool, but what Arlen Specter's opportunistic party switch has taught us is that you can take the Senator out of the Republican Party, but you can't take the predilection towards manufactured offense out of the Senator.

I get that people all across America, and especially in Washington, are currently involved in a contentious debate about universal health care. I also get that one side of the argument is using smear tactics and making things up to try to kill a bill which their bank-rollers don't want to see passed. But, really, I'm still astonished to see that same side of the debate attacking the Department of Veterans Affairs.

It's pretty transparent what is happening here. Proponents of a public option can point to two successful implementations of government health care: MediCare, and the VHA. Rather than supporting their point of view on its own merits (assuming it has any), opponents are trying to tear down the reputations of those services, which consistently get high marks from those who use them.

That's why we saw this yesterday:

If President Obama wants to better understand why America's discomfort with end-of-life discussions threatens to derail his health-care reform, he might begin with his own Department of Veterans Affairs (VA). He will quickly discover how government bureaucrats are greasing the slippery slope that can start with cost containment but quickly become a systematic denial of care.


Last year, bureaucrats at the VA's National Center for Ethics in Health Care advocated a 52-page end-of-life planning document, "Your Life, Your Choices." It was first published in 1997 and later promoted as the VA's preferred living will throughout its vast network of hospitals and nursing homes. After the Bush White House took a look at how this document was treating complex health and moral issues, the VA suspended its use. Unfortunately, under President Obama, the VA has now resuscitated "Your Life, Your Choices."

Of course, as we've been covering at VetVoice.com, and first reported at Huffington, this is a bunch of garbage from a guy who was trying to push his own document on the VHA:

In light of the absolutely ridiculous argument Towey makes in his op-ed, I'd like to point out something Towey isn't telling you. In 1996, Towey founded an organization known as "Aging with Dignity" which still exists today. The following year, Aging with Dignity released a document titled "Five Wishes". Five wishes is the same type of document as the VA's "Your Life, Your Choices", only 41 pages shorter and not legally sound as a living will in 10 states.

That's right. All you need, according to Jim Towey, to make your end of life decisions is five questions and twelve pages, because wrestling over end of life shouldn't take up more than two minutes of your time. That is, if you are lucky enough to live in one of the 40 states in which it is acceptable. Here is something else that Jim Towey isn't telling you: He wants to kill
the "Your Life, Your Choices" pamphlet because he has been trying to sell his own "Five Questions" document to the VA for use in VHA medical centers.

Which leads me to the point of this post. Senator Arlen Specter has personally questioned
why VoteVets.org PAC endorsed his opponent in the Democratic primary, Admiral (Ret.) and Congressman Joe Sestak. This illustrates exactly why the organization made their
endorsement:

Sen. Arlen Specter on Sunday called for hearings to scrutinize a guide for veterans' end-of-life care which one former Bush official says sends a "hurry-up-and-die" message to injured troops. The guide, called "Your Life, Your Choices," was suspended under the Bush administration but has been revived under the current Department of Veterans Affairs.

Of course, the "death book" garbage has been thoroughly debunked. But here is review from Media Matters on what the facts are and the lies that are being pushed:


Arlen didn't make matters any better for himself when he said in an interview yesterday that, while feigning outrage, firing off a letter to Secretary Shinseki and running his mouth on Sunday talk, he hasn't actually even seen the document in question:

Specter said in an interview yesterday that he had not read the booklet but was disturbed by what he had gleaned thus far. "I heard an inference that people might be inappropriately influenced to withhold medical treatment," he said.

Someone should tell Specter that huffing, puffing and feigning outrage over debunked manufactured scandals may be a tactic that plays well to his former party, but it doesn't help America's Veterans.

Rather than seeing the argument for what it is, a reactionary attempt to make a partisan argument against the effectiveness of a government agency that consistently receives high approval ratings from those it serves, Specter instead called for tax payer dollars and the time of Congress to be spent on hearings over a pamphlet which is still being reviewed, is not mandatory for use by VHA physicians, and is no where near the "hurry-up-and-die" document which its slanderers have purported it to be.

Enjoy the primary, Arlen.


Follow Richard Allen Smith on Twitter: www.twitter.com/rockrichard

 
 
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HUFFPOST SUPER USER
LeftRight
TANSTAAFL
08:05 PM on 08/26/2009
What?!?!?!?!?!?! Arlen Specter (r-PA) is showing through Arlen Specter (D-PA)?!?!?!?!? I'm SHOCKED I tell you!!!

This man spoke a real good game during the Bush admin about working out solutions to tough problems by working together with the opposition. Then he proceeded to vote with Bush on EVERYTHING!!!!! It's obvious to ALL of us that Specter cares no more about Vets than did Bush!!
HUFFPOST COMMUNITY MODERATOR
Bluesue
07:37 PM on 08/26/2009
Arlen Specter is my Senator. This pandering on Fox about the "Death Book" was the last straw. I wrote to Specter today to advise him that I will not be voting for him and that this is a big part of why not.

I read through this booklet when the controversy erupted. I found it to be an excellent resource for making a person think. The book gave examples of people who have faced various health crises and provided a checklist of what would the reader think of different conditions as the impact on their life. It also provided information on the need to be explicit because what we may say vaguely to a loved one could have a different meaning to that person.

These "Death Panels" and now the "Death Book" are about the most vile lies I can recall the Republicans making (WMD not withstanding). It is despicable to lie and mislead to make citizens fear that their government wants to kill them or is hinting they should die all for purely political purposes.

I'm looking forward to congratulating "Senator Sestak" after the next election.
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HUFFPOST COMMUNITY MODERATOR
Dosadi
Political agnostic
06:18 PM on 08/26/2009
Only idiots don't realize that a so-called death book can be a good idea. If you are in your 80's, 90's and have been diagnosed with terminal cancer you need to know how to approach what is left or your life. There is no other way to get this information and it is necessary. Your family will put you through weeks of torture as they force the doctors to keep you alive one more day. You will suffer through weeks of unnecessary procedures for their benefit not yours. The extra days you receive will not be good ones for you will be full of so much medication you will not know who you are. Your family will take advantage of the system in hopes that a last second miracle cure will be discovered. It won't so you really need to plan those last weeks or months. You have financial things to settle, decisions about where you are to die, and believe it or not what to wear to your own funeral. It is good to have a plan no matter what you are planning.
03:33 PM on 08/26/2009
The fact that you mention the VHA as a success tells me how smart you are. The VA stinks. Sure there are people who will say it's great, because they have nothing to compare it to. Most Vets have not been to civilian hospitals were the care is many times better. My experience has been very disheartening. Especially when it comes to their red tape. I won't even go into the nightmare known as Tricare. Government run health care is incompetent at best.
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RockRichard
Vice Chairman, VoteVets.org
05:58 PM on 08/26/2009
I know when I take my 2 y/o daughter to the civilian hospital here, she has to wait hours to see someone, and that is in a pediatrics only emergency room. When I took a friend to the ER at a VA hospital in Pittsburgh, there was no line and he was literally laying on a bed talking to a doctor less than three minutes after walking in the door. So there you go.
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HUFFPOST COMMUNITY MODERATOR
Dosadi
Political agnostic
06:10 PM on 08/26/2009
I have used both VA and private health care facillities. What is your beef? I find there to be very little difference between the two. You should hold your tongue about the VA. These are people who are doing the best they can with what they have. That is all you can ask from a person. Okay?
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HUFFPOST SUPER USER
dhampton100
58 years old Christian American -US Army Veteran.
02:38 PM on 08/26/2009
As an honorably discharged Veteran who receives treatment and the Dayton VA Medical Center and who also holds the record for filing complaints and bringing patient Abuse charges against employees, I think I have some experience on this subject. While 98% of my negative experience at the VA has been engendered by the Mental Health Care Line, I can attest that nobody has tried to get me to commit suicide. At least not through any dumb ass death book. In fact the “physical medicine” at the VA is excellent and second to none. While I do know there are many, (were many) they were found guilty of patient abuse and forced into retirement, employees who hated my guts, none suggested euthanasia even when I was at death’s door. After having spent eleven months (11) months as a patient in the VA I can attest to the fact that this is the biggest lie I have heard to thwart Health Care Reform…….Wait a minute--pull the plug on grandma is terrible too……wait a minute, the President born in Kenya, that’s pretty bad, too…wait a minute, you will be forced to change your insurance and doctor is a horrible lie, too…Ah hell VA death books is just another big lie YES it’s a damn lie TOO!
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HUFFPOST SUPER USER
LeftRight
TANSTAAFL
08:07 PM on 08/26/2009
Mental Health and Dentistry are the only two problems that I ever really had with the VA. That, and the fact that once I moved to Chicago from rural Illinois, and had to change VAMCs, it was around a six month wait to get an appointment....
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JohnFromCensornati
The End is near
12:53 PM on 08/26/2009
Sestak (D) does seem like a better candidate that Specter (R) for some reason.
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HUFFPOST SUPER USER
LeftRight
TANSTAAFL
08:06 PM on 08/26/2009
Especially in the DEMOCRATIC primary....