The republicans charge that Democratic health care reform would, in Sen. tiffany necklace
Grassley's words, "pull the plug on Grandma." According to Sen. Jon Kyl, the
bills before Congress would ration medical treatment by age. Rep. John Boehner
says they promote euthanasia. Sarah Palin has raised the specter of "death
panels." Such fears are understandable. It's not preposterous to imagine laws
that would try to save money by encouraging the inconvenient elderly to make an
early exit. After all, that's been the Republican policy for years.
It was Grassley himself who devised the "Throw Mama From the Train" provision
of the GOP's 2001 tax cut. The estate-tax revision he championed will reduce the
estate tax to zero next year. But when it expires at year's end, the tax will
jump back up to its previous level of 55 percent. Grassley's exploding tax break
has an entirely foreseeable, if unintended, consequence: it incentivizes ailing,
elderly rich people to end their lives-paging Dr. Kevorkian-before midnight on
Dec. 31, 2010. It also gives their children an incentive to sign DNR orders and
switch off respirators in time for the deadline. This would be a great plot for
a P. D. James novel if it weren't an actual piece of legislation.
This is not merely hypothetical. Serious economists take the possibility
seriously. In a 2001 paper entitled "Dying to Save Taxes," economists from the
University of Michigan and the University of British Columbia examined 13
changes in U.S. tax law since 1917 and concluded that benefactors die in greater
numbers just before tax hikes and just after tax cuts. A 2006 study done in
Australia, which abolished its inheritance tax in July 1979, reached the same
conclusion. Statistics showed that more than half the people who would
ordinarily have died in the last week of June 1979-and whose tiffany bracelet would
have been subject to the tax-managed to avoid it by surviving into July.
Republicans in Congress have created a similar inducement for Grandma not to die
before January 2010, but to make sure she is gone by January 2011.
Other GOP policies promote death for senior citizens with more modest
incomes. Take George W. Bush's failed plan to privatize Social Security-a
program that has driven life expectancy up and death rates down since it was
instituted. It has an especially pronounced impact on suicide rates for the
elderly, which have declined 56 percent since 1930. Had Bush prevailed, those
who gambled on the stock market and lost would be less able to afford medicine,
food, and heating for their homes. In aggregate, they'd likely die younger and
commit suicide more often.
Republicans continue working to short-en and sadden the lives of the elderly
in more oblique ways, too. One of President Obama's first official acts was to
reverse Bush's executive order limiting government funding for stem-cell
research, which remains the most promising avenue for new treatments of diseases
that afflict the aged, including Parkinson's and Alz-hei-mer's. Clean-air
legislation, which the Republicans defeated in 2002, has the potential to save
23,000 lives per year, according to the Environmental Protection Agency. Many of
those victims are elderly people, who suffer disproportionately from
cardiovascular and respiratory illnesses exacerbated by air pollution. Because
emissions of carbon monoxide and such are merely a contributing factor, you
can't name the individuals who have died because of this policy choice. But it's
reasonable to deduce that there are tens of thousands of people who would still
be elderly today if Republicans didn't value the rights and campaign
contributions of polluters more highly than their lives.
But why would Republicans be trying to kill old people? After all, senior
citizens are more likely to vote for the GOP than for Democrats. They were the
only substantial demographic segment John McCain won in 2008. You'd think
conservatives would want them to hang on as long as possible. The problem is
that because of the Democratic programs Social Security and Medicare, the aged
are expensive for government to keep around. The writer Jodie T. Allen once
explained the reason for the GOP's "pro-death" policies: faced with an
unpalatable choice between cutting benefits and raising taxes to pay for the
growing costs of entitlement programs, Republicans gravitated toward a third
alternative-restraining growth in life tiffany rings. If you
want lower taxes and aren't willing to risk cutting spending, you need fewer
beneficiaries.
I do not wish to alarm older, wealthier readers, but you may find family
gatherings becoming increasingly tense over the next year. Do not be surprised
if your heirs try to sit you down for a "conversation." And do not be surprised
if you experience something like the following nightmare: You're in a hospital
bed, hovering in a state of partial consciousness. Beneath the mask, that
surgeon has a familiar face ... wait, isn't that ... Dr. Grassley? And who's
that with the syringe-Nurse Palin? At which point, if you are lucky, you will
wake up in a cold sweat.
