ShAARP Session: Observations from AARP

From Pete Jeffries, National Campaign Consultant to Divided We Fail


This morning, RedState published an inaccurate piece titled, "AARP
Officially Endorses H.R. 3200, the Democrats' Healthcare Overhaul." The
headline is false and the claims made against AARP within the piece are
misleading.


Fact is AARP has not endorsed H.R. 3200, nor any comprehensive health
reform bill from the Congress or administration.


AARP's official position on health reform has been known for many years
- the organization simply wants what's best for its members and all
Americans in general. AARP has long been advocating for access to
affordable, high-quality health care. That's one of the reasons over the
last two-and-a-half years the organization has been leading Divided We
Fail, a diverse coalition of businesses, consumers, and labor groups
focused on bringing people together and calling for solutions on health
and financial security.


Lastly, AARP has been working with both Democrats and Republicans to
pass health reform legislation that would improve the lives of millions
of Americans, including AARP members 50 years and older, because health
care access and costs have been spiraling out of control.


Please read AARP's earlier post on combating the multitude of
inaccuracies and myths out there in this critical debate.

Our own Drew Nannis appeared on Fox News this morning to talk about a
video circulating of a Dallas AARP Town Hall on health care. The video
has gained some notoriety, so Drew went on Fox News to clarify a few
key points.


1) AARP tried to hold the meeting for about a half-hour before
deciding that to continue would be impossible.


2) Folks later apologized for the behavior of a few of the disruptive
members in the audience. Most of them wanted to hear what we wanted
to say and have a civil dialogue.


3) Two days later, AARP held another meeting, in the same city, with
many of the same people and it went smoothly.


Here's Drew in his own words...

Hi - I'm Barry Jackson and I run the online advocacy program here at AARP. You may receive some of the emails I send out. Hopefully you find them useful. We find that these emails are a fantastic way to stay in touch with AARP members and let them know about issues that are timely and actionable.


If your inbox is anything like mine, you're getting a lot of emails about how SCARY health reform is. From allegations about rationing care to wild reports of government-sponsored euthanasia, the rumors just keep getting crazier.


And I've had enough. Enough of the fear-mongering. Enough of the myths and unfounded rumors. Enough of the interest groups twisting the truth to stop health reform.


I'm fighting back - and I'm asking for your help!


Below I've debunked some of the common myths going around. Please join me in forwarding these facts to everyone you know. Print them out and pass them around at your social gatherings and other places where people are discussing the issues of the day. Help get the truth out about reform.


The truth is real reform is at risk because opponents are using scare tactics and slogans to gin up fear and misunderstandings. Don't let that happen.


Let's make sure everyone gets the truth. Forward the message below, share these myths and facts on Facebook if you have an account, or post them on other networking sites. If you're active on Twitter, please tweet the truth now.


******Forward these points to friends and family ******


FACT #1: Medicare will not be ended, and no benefits or services will be cut.


Your services will not be ended, nor will your benefits be cut. AARP's position on this could not be clearer. And we have sent this message loud and clear to Congress. While the current proposals include savings in Medicare by cutting out fraud, abuse, waste, and inefficiency, we're standing up and making sure benefits for Medicare recipients are not only fully protected, but are improved.


FACT #2: No legislation currently in Congress would mandate the rationing of care. Period.


Our staff has read all of the legislation circulating in Congress and there are no provisions in these bills that would ration care for our members. None. If any ever did, we would vigorously fight to stop that legislation.


FACT #3: There is no provision of any piece of legislation that would promote euthanasia of any kind.


The rumors out there are flat out lies. Right now Medicare does not cover counseling for end-of-life care. The portion of the bill in question would simply provide coverage for optional end-of-life consultations with doctors, so that the patient can be aware of all of the treatment options on the table. It is not mandatory and it has nothing to do with euthanasia.


FACT #4: We have not endorsed President Obama's plan.


In fact, we haven't endorsed any plan. We are supporting reform of our health care system, something that AARP has pushed for many years. We're working closely with Republican and Democratic members of Congress to lower health care costs and to ensure quality affordable coverage for older Americans - and we want reform legislation passed and signed by the president this year.


So what is AARP fighting for in health reform?


-Stopping insurance companies from charging older Americans unaffordable premiums because of their age.
-Ending the practice of excluding people from insurance because of pre-existing conditions.
-Holding down health costs and making insurance coverage more affordable for all Americans.
-Making prescription drugs more affordable by narrowing the Medicare doughnut hole, bringing generics to market faster, and allowing Medicare to negotiate better drug prices.


Find out more and take action at HealthActionNow.org.

Our own Drew Nannis took to the pages of the Washington Examiner to respond to an editorial the Examiner ran earlier this week.


"The truth is, and especially in Washington, you just can't please all of the people all of the time. And yes, this is a variation on a phrase often attributed to Republican President Abraham Lincoln, so perhaps AARP will be accused of siding with a particular political party (although Tapscott referred to us as "liberal") but that's just the way it is in this town.


Unfortunately, many people behind the deceptive machines who are working to stop health care reform are trying to vary this memorable phrase even further, working around the clock to "fool all of the people all of the time". They are stopping at nothing to spread myths about health care reform and employ scare tactics to deceive the masses."

Drew does a great job of putting AARP's role in the health care reform debate in context. Read the whole thing.


From our Health Care Action Now campaign, where you can find more info.

Myth: Health care reform will hurt Medicare.

Fact: None of the health care reform proposals being considered by Congress would cut Medicare benefits or increase your out-of-pocket costs for Medicare services.

Fact: Health care reform will lower prescription drug costs for people in the Medicare Part D coverage gap or "doughnut hole" so they can get better afford the drugs they need.

Fact: Health care reform will protect seniors' access to their doctors and reduce the cost of preventive services so patients stay healthier.

Fact: Health care reform will reduce costly, preventable hospital readmissions, saving patients and Medicare money.

Fact: Rather than weaken Medicare, health care reform will strengthen the financial status of the Medicare program.

Bottom Line: For people in Medicare, health care reform is about lowering prescription drug costs for people in the "doughnut hole", keeping the doctor of your choice, improving the quality of care, and eliminating billions in waste that is causing poor care and medical errors.

From AARP Spokesperson Andrew Nannis:

A number of folks who are tuned in to the health care debate have offered their thoughts in various comment threads on Shaarp Session and elsewhere on AARP.org. We are thankful to everyone who has chimed in to express themselves. That said, a number of inaccurate statements deserve to be corrected for the record - we hope to get to all of them. For example, many commenters seem to think that healthcare reform will somehow put AARP "out of business." If people feel that AARP may someday not work hard for older Americans, well, that's just not going to happen. If, however, you mean that many of the products that bear our name will no longer be necessary, well, you might have a point. AARP has said it before and let's go on the record one more time just for fun: we would happily forgo every dime in revenue we receive through AARP-branded products in favor for a health care system that renders them obsolete.

Sen. Sam Brownback (R-KS) recently authored an article in National Review Online on the current health reform debate in Washington in which he argues:

“One particular provision in the Democratic bill has seniors worried, and rightly so. A new 'Center for Health Outcomes Research and Evaluation' could ration access to medicines and treatments based on the government's assessment of the value of a human life and the 'cost-effectiveness' of treatment.”

The charge is false but this kind of thinking has nevertheless resulted in some irresponsible commentators going so far as to suggest the House bill will result in government sponsored euthanasia.

It's time to debunk this myth.

Sen. Brownback is talking about "comparative effectiveness research." Comparative effectiveness research is simply a wonky term that means the ability to compare different kinds of treatments to find out which one works best for which patient. It is a way of improving the quality of our health system. Such research requires standards and funding. AARP supports comparative effectiveness research provisions in the health reform bills in Congress

Comparative effectiveness research would not limit doctors and hospitals from providing the best possible care to their patients. In fact, this research would do the opposite--giving doctors the best information available to make health care decisions with their patients. This research is designed to also empower patients--giving them more and better information so they can make better decisions with their doctors.

The bottom line is that AARP will not support any legislation that gets between patients and their doctors. Period.

While our country spends more than $2 trillion a year on health care, we spend less than 0.1 percent on evaluating how that care works compared to other options. AARP believes spending more money on research will improve our health delivery models.

What makes the "rationed care" charge so risible is that opponents of the comparative effectiveness provision used the exact same argument against the American Recovery and Reinvestment Act last February. "One new bureaucracy, the National Coordinator of Health Information Technology, will monitor treatments to make sure your doctor is doing what the federal government deems appropriate and cost effective. The goal is to reduce costs and 'guide' your doctor's decisions," critic Betsy McCaughey wrote at the time. Given Ms. McCaughey's position as a Director of a medical device maker - an industry that stands to lose billions of dollars in sales of equipment that might be determined as ineffective - we would hope there is no conflict of interest in her outspoken criticism.

It should be noted that the stimulus act hasn't denied treatment to anyone. But that hasn't stopped critics from dusting off the old fear mongering playbook.

Health care is too important for this kind of partisan rhetoric. Let's have a conversation about the issues. Let's talk about what works and what doesn't. But please, let's not make up scare tactics to frighten people from the facts.


There's been some rumors lately about a memo from Speaker Pelosi's office and what it says about AARP and other groups. Drafts of this memo have been posted on various blogs. Last night ShaarpSession called the Speaker's office directly to clear it up for ourselves and were told that what has been published was a draft that had (clearly) not been vetted. Like you, we were skeptical, but the Speaker's folks were good enough to share the actual memo that went out to all House Democrats before the recess - sent 7/31/09 at 1:51PM. We posted it below and hope this clears up any confusion

M E M O R A N D U M

To: Democratic Members of Congress

From: House Democratic Leadership

Date: Friday, July 31, 2009

Re: Strategic Communications Plan for August: Health Insurance Reform

Over the last few months, we have made great progress to advance a strong health insurance reform bill through the House, and are closer than we have ever been to taking this historic step for our country. As we prepare for the five-week-long August District Work Period, we must recognize the opportunities and challenges that lie ahead in what may be the most consequential DWP we have ever faced.

Winning the health reform debate in August requires nothing less than an aggressive, multi-front effort to control the message and keep the momentum moving forward. The continued focus and effort of every Member is critical to ensuring our success. The following memo outlines the strategic plan for Member action, earned media, and rapid response for August that will enable us to use this month to build support and momentum so we can return in September well-positioned to pass a health reform bill in the House.

Our message is simple. It is in sync with the White House. And it counters the Republican 'government takeover' message. Hold the insurance companies accountable. Remove them from between you and your doctor. No discrimination for pre-existing conditions. No dropping your coverage because you get sick. No more job or life decisions made based on loss of coverage. No need to change doctors or plans. No co-pays for preventive care. No excessive out-of-pocket expenses, deductibles, or co-pays. No yearly or lifetime cost caps on what insurance companies cover.

SHOWING MOMENTUM & DRIVING THE DEBATE

District Health Care Events

Members have already held more than 550 health care events in their districts this year, but we must do more. The Democratic Leadership has prepared a list of suggested district events and materials to help you organize and conduct successful events during the month of August. Press will be notified each week of a sampling of the events occurring around the country to demonstrate that Democrats are using the August District Work Period to advance the health reform conversation and build support for this critical effort. Members are advised to put a 'human face' on health reform by incorporating personal stories into events and communications.

Telephone Town Hall

In addition to the traditional town hall, the telephone town hall is a convenient and efficient tool for you and your constituents to effectively communicate. Hold a health care focused telephone town hall with guests that can help tell the story about why health insurance reform is so important. For instance, hold a call with a doctor from your district or a small business owner whose testimony can provide a powerful narrative on the need for reform. Leadership or committee staff will also be available to serve as a resource on your calls.

Weekly Events

Each week, a national event will be organized to highlight our continued work and progress on health insurance reform. Events will range from a Committee field hearing, a DC-based press event, or events in Members' districts with Leadership or Committee Chairmen. Additionally, press will be informed of continued efforts by Leadership and Committees to move the process forward.

Radio/TV Booking for Members

An aggressive effort to book Members for national and local radio and TV interviews will ensure our message is delivered to both large and targeted audiences. Stephanie Cherry in the Speaker's office serves as the primary booker for the Democratic Caucus and will be working to book Member interviews over August. She can be contacted at (202) 225-0100 or Stephanie.Cherry@mail.house.gov.

Print Press Outreach

Throughout August, a series of press conference calls with Democratic Leadership, Committee and Subcommittee Chairs, and other key Members will be organized with national and regional reporters to offer updates on the reform debate and to explain the components of the Democratic House measure. State and regional delegations are encouraged to organize conference calls with regional media. In addition, communications staff will be working hard to push the human-interest stories that highlight why reform is necessary and how it will benefit the average American. An aggressive effort will also be underway to ensure our message is targeted and tailored to specific audiences.

Hispanic Media

The Speaker's office will work to book Hispanic/Spanish speaking members of relevant committees on Spanish-language radio and TV. Democratic Leadership will also be available to assist with Hispanic-focused district events, including town halls, telephone town halls, and calls with Hispanic media reporters.

RAPID RESPONSE

Tracking Key Members for message delivery on any day of recess.

Health Care Hotline - Leadership and Committee staff will be standing by to help Members and staff with any issue related to health care.

Daily Myth-buster Email to House staff tracking myths and misinformation in the news and including materials to respond.

Truth About Health Reform Website to log opposition myths and provide independently sourced myth-busting and fact-checking research to set the record straight.

INFORMATION & REGULAR UPDATES

Daily Emails from Leadership Offices

· Momentum/In the news roundups

· Daily myth-buster email

· Statements on developments/framing of news

· New polling data

· New studies or reports

· New section for Daily Dose email highlighting August action

Regular Health Care Update Calls

Democratic Caucus calls will be arranged for Members to receive an update on the latest health reform developments and to share news about how the health debate is progressing in their districts. A similar call will also be organized for staff.

Health Care Clearinghouse & DemCom

All message materials, fact sheets and other resources provided to Members and staff are available on the newly-created DemCom intranet (demcom.house.gov) and on the Health Care Reform Clearinghouse: www.majorityleader.gov/members/health_care.cfm. In addition, each of the committees of jurisdiction and the Speaker's office have resource pages on their sites:

· Energy and Commerce Committee

· Ways and Means Committee

· Education and Labor Committee

· http://www.speaker.gov/HealthReform

WINNING ON THE WEB

There are many creative ways to use New Media to help reach new audiences, hear directly from your constituents, and bolster the overall health reform message.

· Facebook - Become a fan of Health Reform on our Facebook page at http://www.facebook.com/HealthReform and use your Facebook profile to share what health insurance reform will mean for your constituents.

· Twitter - Follow the latest news and rapid response at http://twitter.com/healthreformnow and if you use Twitter, retweet messages you want your constituents to see.

· Delicious - Get must read news articles on our delicious feed at http://delicious.com/HealthCareReform.

· Blog - Blog on health reform on your House blog, or guest blog on websites that your constituents read. Invite bloggers in your district to your town halls and other events and ensure they have information they need on health insurance reform.

· Health Reform Web-Page Template - A template for a health reform web page with images and top-line messages will be sent to all offices for easy integration into Member websites. Members can customize with preferred materials, statements, and district-specific information.

· Embeddable Online 'Flash Quiz' for Members to post on their websites, providing users with an interactive tool to learn health care facts and why reform is necessary.

· You Tube - Members can produce their own recordings to post on their website and social networking pages or embed in newsletters. If you would like to record your own video and need videotaping assistance in DC, please contact the Speaker's press office at x67616 or Antonio and Rob in the Caucus office at x51400. Leadership and Committees will also be working to produce video material to highlight the need for reform.

· Online Chats - Leadership is identifying main stream media reporters and bloggers who are interested in conducting live online chats and interviews on health care reform. Members should contact their local media about such opportunities.

· 'Hidden Tax' Clock - Modeled after the National Debt Clock, the 'Hidden Tax' clock would tally the additional dollars families pay to subsidize the uncompensated health care costs of the uninsured (approximately $43 billion overall per year). A graphic for the clock is being developed.


AP just ran a piece on some of the very distortions we're finding in our Health Care Reform Myths and Facts series:

"Confusing claims and outright distortions have animated the national debate over changes in the health care system. Opponents of proposals by President Barack Obama and congressional Democrats falsely claim that government agents will force elderly people to discuss end-of-life wishes. Obama has played down the possibility that a health care overhaul would cause large numbers of people to change doctors and insurers.

To complicate matters, there is no clear-cut 'Obama plan' or 'Democratic plan.' Obama has listed several goals, but he has drawn few lines in the sand.

The Senate is considering two bills that differ significantly. The House is waiting for yet another bill approved in committee."


Check out the entire article here.


Some special interest groups have been spreading misinformation to folks in the hopes of killing health care reform legislation; in short, they perpetuate myths and use scare tactics to make people think that reform is a bad idea. (For example, like the contention that health care reform would ration your care, hurt Medicare or be a government takeover.)

So when these myths are being made, we want to make sure we're here to give the correct information to dispel any fears about what health care reform can do for you. And we'll be debunking them every day this week on the blog!

Myth 1: Health care reform is socialized medicine.

Fact: Health care reform will preserve the employer-based health care system, meaning an estimated 200 million Americans will continue to get their coverage through their employers.

Fact: For people buying coverage for themselves, there would be a range of private health plans to choose from. Also, the so-called "public plan" option would seek to give American consumers another choice if they can't find affordable, quality coverage in the private insurance market. The goal of the "public plan" is to give consumers the best value for their money and force greater competition among insurance plans for our business.

Fact: Every proposal that Congress is considering would allow people to choose their own doctors and hospitals.

Health care reform isn't about a government takeover. It's about guaranteeing all Americans a choice of health care plans they can afford.

Check out more info on health care reform here and check in tomorrow for the next myth debunking!