Spoiler
Full interview
Factcheck done by MediaMatters:Jon Stewart takes on fear monger Betsy McCaughey who brought her great big prop of a bill with her to appear on the Daily Show. It was more of the same from McCaughey with the government wants to kill grandma type nonsense.
Extended Interview Part 1
Extended Interview Part 2
And lookie here: ‘Death Panel’ Myth Creator Betsy McCaughey Resigns From Medical Board:
Betsy McCaughey — an outspoken proponent of the myth that Democrats’ health care reform proposals will lead to the creation of “death panels,” as well as a former lieutenant governor of New York and adjunct fellow at the Hudson Institute — has stepped down from her position as a director of Cantel Medical Corp., which bills itself as a “leading provider of infection prevention and control products in the healthcare market.”
After previously backtracking from a claim that Page 425 of the House health care reform bill would provide for "mandatory" end-of-life counseling, former New York Lt. Gov. Betsy McCaughey -- a serial misinformer about health care reform proposals -- falsely claimed on The Daily Show that another page of the bill -- Page 432 -- would make such counseling "mandatory" and that a provision on that page "penalize" doctors who do not adhere to government standards. In fact, as host Jon Stewart noted, the language McCaughey cited does not make end-of-life counseling mandatory and does not "penalize" doctors, but rather provides incentive payments for doctors who report "data on quality measures" for end-of-life care.
McCaughey falsely claims Page 432 of bill makes end-of-life counseling "mandatory"
McCaughey: "[D]angerous" bill makes end-of-life counseling "mandatory" on Page 432, and doctors will be "penalize[d]" for not following advanced directives.
From the August 21 edition of Comedy Central's The Daily Show with Jon Stewart:
STEWART: Now, you have said that the conversation is mandatory.
McCAUGHEY: It is.
[...]
STEWART: Give me the part that says it is mandatory that you must --
McCAUGHEY: It's on Page 432.
[...]
STEWART: You showed me the page the did that.
McCAUGHEY: That's right. There it is.
STEWART: And so let me just read it very quickly. "In general, for purposes of reporting data on quality measures for covered professional services, the secretary shall include quality measures on end-of-life care and advanced care planning that have been adopted or endorsed by a consensus-based organization, if appropriate. Such measures shall measure both the creation of and adherence to orders for life-sustaining treatment."
McCAUGHEY: And what's wrong about this -- it's one thing to pay doctors to spend time with their patients discussing this issue. I am not against this. But, putting pressure on doctors to require patients to go through a consultation that's prescribed by the government and then penalize them --
STEWART: Two -- two -- two things on that.
McCAUGHEY: Wait a second. Wait a second.
STEWART: All right.
McCAUGHEY: Just, just -- and then to penalize them if the patient or their family changes their mind about their living will --
STEWART: Two, two, two things about that --
McCAUGHEY: -- in a moment of crisis. That's really wrong.
STEWART: It would be really wrong if that was in any way what this said.
In fact, the language McCaughey cited provides incentives for doctors to report data
Bill language deals with "reporting data." From Pages 431-432 of the House tri-committee bill, America's Affordable Health Choices Act:
(1) PHYSICIAN'S QUALITY REPORTING INITIATIVE. -- Section 1848(k)(2) of the Social Security Act (42 U.S.C. 1395w--4(k)(2)) is amended by adding at the end the following new paragraphs:
''(3) PHYSICIAN'S QUALITY REPORTING INITIATIVE. --
''(A) IN GENERAL. -- For purposes of reporting data on quality measures for covered professional services furnished during 2011 and any subsequent year, to the extent that measures are available, the Secretary shall include quality measures on end of life care and advanced care planning that have been adopted or endorsed by a consensus-based organization, if appropriate. Such measures shall measure both the creation of and adherence to orders for life-sustaining treatment.
''(B) PROPOSED SET OF MEASURES. -- The Secretary shall publish in the Federal Register proposed quality measures on end of life care and advanced care planning that the Secretary determines are described in subparagraph (A) and would be appropriate for eligible professionals to use to submit data to the Secretary. The Secretary shall provide for a period of public comment on such set of measures before finalizing such proposed measures.''.
"Physician's Quality Reporting Initiative" provides incentives for satisfactorily reporting data, not for outcomes. The initiative provides that an eligible health care professional can receive "incentive payments" if he or she "satisfactorily submits (as determined under this subsection) to the Secretary [of Health and Human Services] data on such quality measures in accordance with such reporting system for such reporting period." The Department of Health and Human Services' Frequently Asked Questions page describes "satisfactory reporting for Physician Quality Reporting Initiative" as follows:
The statutory description of satisfactory reporting for Physician Quality Reporting Initiative (PQRI) depends on how many quality measures are applicable to the services furnished by the physician or other eligible professional (EP) during the entire reporting period. If there are no more than three quality measures applicable to the services provided by the EP, then each measure must be reported for at least 80% of the cases in which the measure was reportable. If there are four or more quality measures applicable to the services provided by the EP, then at least three measures, selected by the EP, must be reported for at least 80% of the cases in which each measure was reportable. EPs are encouraged to report on as many quality measures as are applicable to the services provided. Reporting on as many applicable measures as is practical will increase the opportunities to reach the 80% satisfactory reporting level.
Edit: fucking broken spoiler tags.