Donald Berwick Quotes
It boggles my mind that the same people who cry 'foul' about rationing an instant later argue to reduce health care benefits for the needy, to defund crucial programs of care and prevention, and to shift thousands of dollars of annual costs to people - elders, the poor, the disabled - who are least able to bear them.
Berwick, Donald M. "Toxic Politics." Keynote Address. 23rd Annual National Forum on Quality Improvement in Health Care, Institute for Healthcare Improvement, 7 Dec. 2011, Orlando, FL.
This notorious quotation was the first time anyone had ever used the term "death panels". As Wickipedia says,"Death panel" is a term that originated during the 2009 debate about federal health care legislation to cover the uninsured in the United States. Sarah Palin, former Republican Governor of Alaska, coined the term when she charged that proposed legislation would create a "death panel" of bureaucrats who would decide whether Americans—such as her elderly parents or children with Down's syndrome—were "worthy of medical care." When Palin was challanged to show where in the proposed Obamacare bill, there was any mention of dealth panels or anything like them, Palin's spokesperson pointed to Section 1233 of bill HR 3200 which would have paid physicians for providing voluntary counseling to Medicare patients about living wills, advance directives, and end-of-life care options. But there was absolutly nothing about withholding medial care. Just the opposite Obama care guaranteed medical care to many millions more Americans regardless opf age or medical condition. However, the bill was ovr 2000 pages long and very few people had read most of it, including the members of Congress who voted for and agaisnt it. A number of conservatives repeated the false accusatuins (See Congresswoman Virginia Foxx (R-NC) Quotation 644139. One poll showed that after it spread, about 85% of respondents were familiar with the charge and of those who were familiar with it, about 30% thought it was true and Palin's new term won the dubius distinction of winning the "Lie of the Year" award. Despite the fact that it was totally false, in order to win Obamacare be a single vote, the President had to eliminate the part of the bill that allowed payment to physicians to take the time and explain to patients and/or their families, the various options of palliative treatment during the last months of life. Many people thought that the doctors would form death panels.
That particular Libertarian platform called for the abolition / repeal of Social Security, Medicare, Medicaid, the Post Office, Federal election Commission and campaign finance laws. Extreme radical ideas such as this are not typical of Libertarian Party positions before or afterwards. The quotation illustrates that there are people in America who would end public education if they could. The quotation also illustrates how a small cadre of people can capture control of a political party and create a platform that is their own personal views which may be different from most of the party members or the historical position that the party has taken. In 1980 the Libertarian Party Vice Presidential Candidate was David Koch, one half of the billionaire conservative Koch brothers. Their money financed the Libertarian Party in that year and David Koch’s views then prevailed in the party platform. Historically, the Koch brothers moved from a minor third party to the Republican party at the beginning of the 21st century when their money was able to help drive the party very far to the right from the traditions of Abraham Lincoln and Theodore Roosevelt.
Donald M. Berwick is a former Administrator of the Centers for Medicare and Medicaid Services (CMS). Prior to his work in the administration, he was President and Chief Executive Officer of the Institute for Healthcare Improvement a not-for-profit organization.
