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View Diary: Krugman: Dwindling Deficit Disorder (135 comments)

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  •  "The snarky version is death panels and (1+ / 0-)
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    sales taxes."  

    Did you watch the video?  

    It's a restatement of what he said in the 2010 op ed I linked to.  Here'sthe video the op ed refers to.

    He's said it a few times.  His way to handle the unsustainable growth in Medicare is the oversight review board to make decisions about what they will and won't pay for "in extreme care" as he says, along with a broad based middle class tax like a VAT.

    •  I've been reading Krugman for years (2+ / 0-)
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      Words In Action, elwior

      So, no, I'm not a sucker for these kinds of diversions.

      It is an old strategy of tyrants to delude their victims into fighting their battles for them. FDR

      by Betty Pinson on Mon Mar 11, 2013 at 11:37:28 AM PDT

      [ Parent ]

      •  Krugman's own words (1+ / 0-)
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        posted in the NYT under his name are "diversions"?  

        A video of him saying the same thing on ABC This Week is "diversions"?

        •  Yes, here they are: (5+ / 0-)
          So, what I said is that the eventual resolution of the deficit problem both will and should rely on “death panels and sales taxes”. What I meant is that

          (a) health care costs will have to be controlled, which will surely require having Medicare and Medicaid decide what they’re willing to pay for — not really death panels, of course, but consideration of medical effectiveness and, at some point, how much we’re willing to spend for extreme care

          I'm sorry, but I'm a long-time health care activist, so I actually know what he's talking about.  He's referring to "medical effectiveness" or, in the parlance "evidence-based medicine".  That's the practice of providing treatment to patients based on the results of sound, scientific evidence, as opposed to the current practice by some physicians of prescribing expensive tests and treatments during end of life care that are known to not be effective or necessary.

          Now, members of the Tea Party call these "death panels", but I'm sure you don't want to be lumped in with that group.

          There are a large number of scholarly articles on the topic, I can provide you some links if you really want to learn more about it.

          It is an old strategy of tyrants to delude their victims into fighting their battles for them. FDR

          by Betty Pinson on Mon Mar 11, 2013 at 12:00:13 PM PDT

          [ Parent ]

          •  He called it "death panels" as well. (1+ / 0-)
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            Several times.

            Yes, he means that, as he says in that op ed, we are going to have to make decision about what "extreme care" (end of life care) we are going to pay for.  In that January 2013 video, he says the "snarky term" is death panels, but he doesn't flinch from the notion that some oversight board is going to have to make a decision that we are not going to pay $100,000 for a treatment that has a 30% chance of increasing the life of an 80 year old for 6 months.  I understand exactly what he was talking about.  I wonder how comfortable people are with that notion.

            He says that we will ALSO need a broad-based middle class tax increase, like a sales tax or a VAT.  (If you look at the numbers, that kind of tax raises a LOT of money.) I suspect that far fewer people are comfortable with the notion of a national sales tax or VAT.

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