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Quick Fact: Fearmongering about rationing, Baier falsely claimed a "federal panel" promulgated cervical cancer guidelines

November 20, 2009 9:53 pm ET — 6 Comments

Special Report host Bret Baier falsely claimed that recently released cervical cancer screening guidelines were promulgated by a "federal panel," adding that those guidelines "open the door to this conversation about rationing." Additionally, Mara Liasson suggested that that the Senate health care reform bill would implement a task force's recommendations for breast cancer screenings when "writing the basic health care package that insurers who participate in these exchanges are going to offer."

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From the November 20 edition of Fox News' Special Report with Bret Baier:

BAIER: I want to turn to this, the second day in a row that a federal panel has come out with guidelines and recommendations that the White House is not too please about. First we had the mammograms that they said this is not administration policy to move the age up to 50. Now the American College of Obstetricians and Gynecologists or ACOG advises women to start pap tests for cervical cancer at 21, not 18.

[...]

LIASSON: Is ACOG actually a government panel? I think it's more --

BAIER: Independent.

LIASSON: It's, no, well I don't know if it's a government panel, I think the first one was definitely a government panel, the preventative task force--

BAIER: Right, right, right but it opens the door to this conversation about rationing.

LIASSON: There's no doubt. I think the mammogram thing was a huge kinda bowling ball rolling right down towards health reform because it's one of the most emotional issues for women. Breast cancer is the number one concern among women when they are asked to rate what they worry about. And here is the governmental panel, independent but in the Senate bill it says that when it comes to writing the basic health care package that insurers who participate in these exchanges are going to offer they are going to look to panels including this preventative task force and others to decide what should be in the package.

Fact: ACOG is "a private, voluntary, nonprofit membership organization" that issued nonbinding guidelines unconnected to health reform

The American College of Obstetricians and Gynecologists (ACOG), which on November 20 announced new recommendations for cervical cancer screenings, is not a "federal panel." In fact, it is a private membership organization. From the organization's website:

Founded in 1951 in Chicago, Illinois, ACOG has over 52,000 members and is the nation's leading group of professionals providing health care for women. Now based in Washington, DC, it is a private, voluntary, nonprofit membership organization.

ACOG works primarily in four areas:

  • Serving as a strong advocate for quality health care for women.
  • Maintaining the highest standards of clinical practice and continuing education for its members.
  • Promoting patient education and stimulating patient understanding of and involvement in medical care.
  • Increasing awareness among its members and the public of the changing issues facing women's health care. [ACOG website]

Additionally, the guidelines ACOG issued are nonbinding and a doctor involved in their development reportedly stated they had been "in the works for several years, 'long before the Obama health plan came into existence.'"

Fact: Neither Senate nor House health bills require insurers to adopt recommendations against preventive services

The Senate health care reform bill, the Patient Protection and Affordable Care Act, requires insurance companies only to cover screenings that the United States Preventive Services Task Force recommends, those rated as an A or B recommendation; it does not require insurers to adopt guidelines that recommend against preventive screenings:

SEC. 2713. COVERAGE OF PREVENTIVE HEALTH SERVICES.

(a) IN GENERAL. -- A group health plan and a health insurance issuer offering group or individual health insurance coverage shall provide coverage for and shall not impose any cost sharing requirements for --

(1) evidence-based items or services that have in effect a rating of 'A' or 'B' in the current recommendations of the United States Preventive Services Task Force

Similarly, the House health care reform bill, the Affordable Health Care for America Act, requires insurance companies to cover the A or B recommendations of a new task force, the Task Force on Clinical Preventive Services, but does not require that insurers adopt recommendations against preventive services:

SEC. 3143. RESEARCH ON SUBSIDIES AND REWARDS TO ENCOURAGE WELLNESS AND HEALTHY BEHAVIORS.

[....]

(c) INCLUSION IN ESSENTIAL BENEFITS PACKAGE. -- If, on the basis of the findings of research and demonstration projects under subsection (a) or other sources consistent with section 3131, the Task Force on Clinical Preventive Services determines that a subsidy or reward meets the Task Force's standards for a grade A or B, the Secretary shall ensure that the subsidy or reward is included in the essential benefits package under section 222.

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    • Author by my4cents (November 20, 2009 10:31 pm ET)
         
      Even if it was a federal panel, which it was not, so what?
      Is it in the bill(s) being debated? No, I hope. If it is, cite the bill and not the imaginary panels.
      But if your clientele is senior citizens on socialized Medicare who you are scaring to death, that the bills will kill you, anything is fair game, I guess.
      Report Abuse
    • Author by princeofwheels (November 21, 2009 4:09 am ET)
      1  
      Concerning the mammograms, all of the talk I've heard on carious shows, newpapaer accounts and talk radio, the Righties are screaming their heads off saying "See, rationing." However, the tasks forces are making recommendations which some call guidelines.
      If you listen to the people talking and the doctors, 99% are claiming that they will still decide this between doctor and patient which is EXACTLY what the Dems have been saying all along.

      ConLogic can only promote a negative which leads to a NO.

      Reasonable people will listen to what is said, analyze and decide.

      Doctor-patient...Patient-Doctor that is where decisions will be made.
      So for you Cons, "See"

      Health Care..a victory for the people.
      Report Abuse
      • Author by ScienceBuff (November 21, 2009 8:59 am ET)
           
        If you listen to the people talking and the doctors, 99% are claiming that they will still decide this between doctor and patient which is EXACTLY what the Dems have been saying all along. - princeofwheels

        Absolutely right. Beyond that, though, I think it's worth pointing out that the new guidelines on mammograms agree with that procedure. Those guidelines emphasize that doctors and patients should work together making the determination of what is best on a patient-by-patient basis. Strict adherence to the guidelines COULD NOT result in denying mammograms to women who need them, regardless of age.
        Report Abuse
        • Author by princeofwheels (November 21, 2009 9:21 am ET)
             
          The Cons are so short-sighted that they would never go "Up the Down Staircase." Too bad, they might finally get a different view of how things look for those that do try the different, yet same steps.
          Report Abuse
    • Author by egb (November 22, 2009 3:56 am ET)
      1 1
      When the doctor decides to order a mammogram and the Secretary says she's too young, who wins that argument? The federal guidelines are precursors to the "panel" in the bills that will decide on the best, most optimal trade offs between good health care and money. When the money runs short, what happens? Do patients then go bankrupt? I thought bankruptcy was to be banished.

      These health care bills are not about improving health care. They are about redistributing wealth. Health insurance premiums will go up and the non taxpaying poor will get free health care. It couldn't be simpler.

      The whole scheme will fall apart though, if a taxpayer revolt happens. Then only those people that have money or gold will be able to have health care. Or would the government force doctors at the point of a gun to offer services without pay? This government run stuff has so many interesting plot lines. The corruption involved in just passing the bills is fascinating and just wait until your government gets its hands on $.9T. There are going to be so many happy people that have absolutely nothing to do with the health care industry, you're going to have to start a new web site.
      Report Abuse
    • Author by bluenoser (November 23, 2009 1:23 pm ET)
         
      Anyone who has spent time in a country with single payer, socialized medicine knows that YES the government does say what is covered and what isnt and when it is covered, whether it is a panel or some bureacrat saying it is irrelevant.
      The doctors in Canada don't always have the say as to what you are allowed to have, there is always a gatekeeper. Get used to it, this health plan doesn't address anything that is used to actually reform healthcare.
      Report Abuse

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