“It’s an absolute outrage that you would take first of all a provision written in the bill,” Emanuel says, a provision allowing for “doctors to talk to patients about end of life care, and turn it into the suggestion that we’re going to have euthanasia boards — that’s a complete misreading of what’s there. It’s just trying to scare people.”

Emanuel says as an oncologist he’s had hundreds of discussions with patients about what to do when treatment doesn’t work.

“It’s wrenching,” he says.

The provision in the House Democrats’ bill is “an acknowledgment doctors should be compensated for making that conversation available,” he says. “It’s not forced — it’s voluntary.”

As for Palin’s vision of “Obama ‘death panels,’” Emanuel argues “there’s no basis for that claim either in any of my writings or the legislation. It has no grounds in reality. It’s surreal and Orwellian, the idea that this legislation or my writings suggest that her son Trig shouldn’t get health care.”