Anyone listening to CNN Wednesday morning might have been scared to death. The specter of the government coming between doctor and patient raised its head again, as it has over the years when the special interests want to demonize health reform. The offending segment began with anchor Heidi Collins raising the ghost of health reforms past:
The president’s economic package throws billions of dollars at health reform. Critics say there are provisions in the fine print that will let doctors dictate the kind of medical care your doctor gives. Actually I think that should say the government dictate what your doctor can do for you. Because a lot of people, I would imagine, would have serious issue with the government who are not physicians usually.
Collins then introduced senior health correspondent Elizabeth Cohen, whom she said was here for a fact check. Cohen took it from there, and she and Collins created a piece of bad journalism that ranks among the most irresponsible health stories I’ve seen over the past year. They built their story around the latest opinions from Betsy McCaughey, who was “baack” opining on the stimulus package for Bloomberg.com, using the same old scare tactics about the government ruining patients’ health care. Cohen quoted McCaughey’s assertion that “the stimulus bill will monitor treatments to make sure your doctor is doing what the federal government deems appropriate and cost effective.”
“Definitely sounds like something you don’t want,” Cohen told viewers.
CNN identified McCaughey as a Republican and former New York lieutenant governor, but it left out her health care credentials, which audiences might have been interested in hearing. While at the conservative Manhattan Institute during the debate on the Clinton health plan, she penned two influential stories for The New Republic—“No Exit” and “She’s Baack!”—that helped bring down the Clinton plan. She received a National Magazine Award for her work, but The New Republic later disavowed it and apologized. Andrew Sullivan, who was editor at the time, said he knew her stories had flaws, but he wanted to provoke debate.
CNN tried to “fact check” McCaughey’s claims by asking to see the provision that says the government was going to tell doctors what to do. Cohen reported that, while the bill didn’t actually say that, McCaughey claimed its language was vague enough to allow for such government meddling in the future. CNN asked “the folks who wrote this bill” if the language would do that, and they told Cohen that was “completely and wildly untrue.”
CNN should have left it there. As Campaign Desk reported, the comparative effectiveness provision in the House version of the bill, which survived in the final package, would fund government research that looks at the costs and benefits of various health treatments and tests—something health experts say must happen if the U.S. is ever to control medical spending. But instead, anchor Collins weighed in, giving her own opinions on health reform:
Completely and wildly untrue. All right. Well, it is interesting, because there are people out there who say if [it] makes way for that, then it can be moving towards things like national health care. So, you know, I think that is a concern.
Cohen agreed, saying that “the language is vague enough that that can happen. That is a concern.” It would have helped to know just who is concerned about this—think tanks that oppose reform on behalf of their funders, businesses whose profits might be lower, editors at CNN, or its reporting team that didn’t seem to know what it was talking about. Collins pressed further:
So because of this vague language, is it true that there is a chance then that doctors can be told by the government specifically about drugs and therapies and treatments for their patients?
“I suppose there is a chance for anything,” Cohen said, adding “some would say that it’s written in such a vague way that they’re paving the road for that. Will that happen? Who knows?”
Collins said that they would stay on top of the story. We hope CNN does, but here are a few suggestions for better journalism:
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McCaughey's past transgressions should give CNN pause when looking for a spokesperson for anything relating to health care. When I saw her expounding, I immediately thought that this might be a preemptive strike against future health care reform. If I caught that, perhaps those with a deeper knowledge of Beltway info should have done their jobs in informing the masses.
#1 Posted by dapajoe, CJR on Fri 13 Feb 2009 at 11:58 AM
If you have read the Recovery Bill you will see that verbiage which you acknowledge stating the government will have the ability to regulate which treatments will be used or appropriate for each situation. This just like you stated is what Insurance Companies do now. The difference is that the Government will be telling you what kind of treatment they say is best. Both have motives. Insurance companies is all about costs, that's easy. What is the government motive? That's a LOT harder to identify. What I hate is the reform people want doesn't address the real problem... Cost. That's because more government is apparently better than a system that works.
#2 Posted by Robert, CJR on Fri 13 Feb 2009 at 06:13 PM
Robert, I'm having a hard time following your final statement. Never in your comment did you mention a system that works, therefore it's hard for me to understand how you've come to this illogical conclusion. Perhaps you may be able to redeem your flawed argument by expunging upon your idea of a system that works. If you'll direct your attention to the grammatically incorrect sentence preceding your final statement, you'll notice that you have just cited a great example of why the current system doesn't work. Here I shall digress; ellipses points aren't intended to be used in the manner with which you are apparently accustomed. Digressions really are a terrible thing, for I've lost my train of thought and as a result am tempted to resort to an illogical conclusion; nay, I shall not. Might I also suggest the disuse of the word "hate" from your arguments, for this suggests an appeal to emotion and as such diminishes your credibility. Allow me to break this down simply for you:
A valid argument contains a conclusion logically entailed by the argument's premises.
A sound argument is a valid argument in which all premises are true.
Your argument has a conclusion which is not entailed by the argument's premises.
Your argument contains at least one false premise.
Therefore, your argument is neither valid nor is it sound.
This has been a lesson in logical argumentation brought to you by the void.
#3 Posted by Anon, CJR on Sat 14 Feb 2009 at 11:48 AM
This is the first skirmish in the coming war to reform our healthcare system. As usual republicans twist words and read things that aren't there in order to create fear. However, they seem to have no issue with the insurance company coming between you and your doctor with approving procedures. At least with analyzing data of outcomes, we can identify the best treatments.
We should utilize technology to extract data on outcomes to ID those protocols that produce results.
She also had a commentary in Bloomberg in which she said:
But the bill goes further. One new bureaucracy, the National Coordinator of Health Information Technology. . .
Problem is that Bush created that position in 2004. From HHS.Gov
In 2004, the President issued an Executive Order establishing the position of the National Coordinator for Health Information Technology within the Office of the Secretary of HHS. The primary purpose of this position is to aid the Secretary of HHS in achieving the President’s Goal for most Americans to have access to an interoperable electronic medical record by 2014.
#4 Posted by Sandy, CJR on Sat 14 Feb 2009 at 08:19 PM
I missed the particular segment you comment on here, but I have often taken issue with both Ms. Collins and Ms. Cohen interjecting their personal opinions on the subjects they report. I don't know what advanced medical or scientific degrees either of them may possess, but until they state it/them when they report, as do most experts, such as M.D.s, Ph.D.s, airline pilots, criminologists, etc., when giving expert advice on TV to the public, I would prefer that they simply report the medical or scientific news, rather than read into the reports their opinions. Thank you for your important comment.
#5 Posted by Rett Sheridan, CJR on Sun 15 Feb 2009 at 01:19 AM
If we let government regulate doctors what doctors drugs doctors can prescribe, next thing they'll take Thalidomide off the market for pregnant women! Where would the nation's supply of limbless infants be, if not for McCaughey?!?
#6 Posted by Josh Jasper, CJR on Mon 16 Feb 2009 at 10:33 PM
When discussing these matters I think it is important, as in all discussions, not to question the other sides motives, I am sure that there are som people who are genuinly evil people and would like to see more people suffer from bad health care(read Nixon), but I think we can all agree that these people rank among the minority. The republicans are not evil people, they have a different ideological standpoint witch must be adressed with sound arguments not with childish rants about how they are bad and evil fearmongerers. One can actually make a perfectly valid argument that the US system does not work simply by citing the statistics. You have the highest health care cost per capita in the world but you simply do not get the bang for your buck that other systems deliver. The fact that your child mortality rate is much higher than most other developed nations along with a lower lifeexpectency should convince you people that something must be done. Not to mention the millions of people who don´t have coverage at all. There is no question that you have the resources to adress these problems, but your stubbordness stands in the way for pragmatic problem solution. There are many systems around the world that can give you a hint of how to build a functioning health care system, it´s time you looked around and realized that capitalism isn´t the solution for everything, it is a means to get the resources but when it comes to social problems, goverment is often the way to go, they are the ones who can concentrate on getting people healthy and not on the revenue stream. The point is that there is room for both, the most affluent people can of course hire there own doctors and go to there own clinics, but it is not the richest people who are in trouble, nor are they the most likely to get injured or sick. It is the poor who needs to be looked after, capitalsim and market solutions are not designed or able to solve problems in witch there is no money to be made. Socialisation is not an inherently bad thing, even though five decades of cold war might have gotten you to think so...
please excuse any misspellings, I am but a simple foreigner...
#7 Posted by Sebastia Ramseid, CJR on Tue 17 Feb 2009 at 10:19 AM
The myth of the liberal media persists despite so much evidence to the contrary. These "reporters" and anchors are pathetic in their ignorance and biases and so corporate-minded it disgusts me.
#8 Posted by Bill, CJR on Tue 17 Feb 2009 at 10:42 AM