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I get that people all across America, and especially in Washington, are currently involved in a contentious debate about universal health care. I also get that one side of the argument is using smear tactics and making things up to try to kill a bill which their bank-rollers don't want to see passed. But, really, I'm still astonished to see that same side of the debate attacking the Department of Veterans Affairs.

It's pretty transparent what is happening here. Proponents of a public option can point to two successful implementations of government health care: MediCare, and the VHA. Rather than supporting their point of view on its own merits (assuming it has any), opponents are trying to tear down the reputations of those services, which consistently get high marks from those who use them.

That's why we saw this yesterday:

If President Obama wants to better understand why America's
discomfort with end-of-life discussions threatens to derail his health-care
reform, he might begin with his own Department of Veterans Affairs (VA). He
will quickly discover how government bureaucrats are greasing the slippery
slope that can start with cost containment but quickly become a systematic
denial of care.

Last year, bureaucrats at the VA's National Center for Ethics in Health Care
advocated a 52-page end-of-life planning document, "Your Life, Your
Choices." It was first published in 1997 and later promoted as the VA's
preferred living will throughout its vast network of hospitals and nursing
homes. After the Bush White House took a look at how this document was
treating complex health and moral issues, the VA suspended its use.
Unfortunately, under President Obama, the VA has now resuscitated "Your
Life, Your Choices."

Of course, as we've been covering at, and first reported at Huffington, this is a bunch of garbage from a guy who was trying to push his own document on the VHA:

In light of the absolutely ridiculous argument Towey makes in
his op-ed, I'd like to point out something Towey isn't telling you.  In
1996, Towey founded an organization known as "Aging with Dignity" which
still exists today. The following year, Aging with Dignity released a
document titled "Five Wishes". Five wishes is the same type of document as
the VA's "Your Life, Your Choices", only 41 pages shorter and not legally
sound as a living will in 10 states.

That's right. All you need, according to Jim Towey, to make your end of life
decisions is five questions and twelve pages,  because wrestling over end of
life shouldn't take up more than two minutes of your time. That is, if you
are lucky enough to live in one of the 40 states in which it is acceptable.
Here is something else that Jim Towey isn't telling you: He wants to kill
the "Your Life, Your Choices" pamphlet because he has been trying to sell
his own "Five Questions" document to the VA for use in VHA medical

Which leads me to the point of this post. Senator Arlen Specter has personally questioned
why PAC endorsed his opponent in the Democratic primary, Admiral (Ret.) and Congressman Joe Sestak. This illustrates exactly why the organization made their

Sen. Arlen Specter on Sunday called for hearings to scrutinize a
guide for veterans' end-of-life care which one former Bush official says
sends a "hurry-up-and-die" message to injured troops.
The guide, called "Your Life, Your Choices," was suspended under the Bush
administration but has been revived under the current Department of Veterans

Rather than seeing the argument for what it is, a reactionary attempt to make a partisan argument against the effectiveness of a government agency that consistently receives high approval ratings from those it serves, Specter instead called for tax payer dollars and the time of Congress to be spent on hearings over a pamphlet which is still being reviewed, is not mandatory for use by VHA physicians, and is no where near the "hurry-up-and-die" document which its slanderers have purported it to be.

Enjoy the primary, Arlen.

Originally posted to Richard Smith on Mon Aug 24, 2009 at 10:58 AM PDT.

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