How To Be a Complete & Utter Asshole

Step One: Pretend you're not being an asshole:

Is it fair to worry that the Democrats included an end-of-life counseling provision in the health care bill because they're planning to push Grannie off the ice floe as soon as they can get naional [sic] health care passed? No, ...

Step Two: Be an asshole:

... and yes. No, because I don't believe that they want to bamboozle people into ending their lives before they should. It's quite clear from what Obama has been saying that he thinks there is a great deal of unnecessary care, particularly late in peoples' lives, that makes them worse off, or at least, no better off.
But though the implication that the Democrats are heartless technocrats is thoroughly wrong, I think the worry underlying it is legitimate.

This post is Megan in a nutshell. A thin veneer of extremely poorly crafted faux-rationality smeared over a dark core of movement conservative subculture stupid insanity. Her long winded but incredibly stupid argument is that the government is bad and it will want to deny people care to save money, especially old people. Because, just to begin with, Medicare doesn't exist.
Second, insurance companies totally cover everything:

Insurance companies already have those undertreatment incentives, but it's hard to act on them. Right now, people know that their insurance companies would love to provide self-serving "end of life" counseling that would encourage sick people not to waste so much valuable money. But they are limited by, first, competition--an insurance company that tried to do this too blatantly would suffer horrible publicity and ultimately lose business--and second, the threat of lawsuits and/or regulation.

The threat of regulation alone keeps insurance companies from acting on their own profit motivations to find every possible excuse to deny claims, too. Just like the threat of regulation kept financial conglomerates from taking idiotic risks for short term profits. Remember, part of what makes Megan right for having been wrong on pretty much every major issue on record is she learns from her mistakes, unlike people who are stupid and just get stuff right.
Then she remembers Medicare exists and says it's really private insurance that the government just sorta pokes with a stick every now and then, but it's not reaaaaaaaaaally government run health care for the elderly that doesn't involve counseling them to kill themselves asap. So don't think it is.
This is another case of Megan thinking she's being clever and covering her ass on both sides, and it's simply pathetic. She doesn't explicitly address any of the right wing euthanasia talking points except to end up arguing even the end of life counseling sessions being twisted into Death Panels by the Palins of the world will serve nefarious bad gubbermint purposes, and in fact that it's the noble private insurance companies preventing death camps for the elderly. I'm not kidding:

If the public sector atrophies, the scope for manipulation broadens, because the information about what's available outside the public sector shrinks. Nor is this just crazy speculation. I actually think it's pretty reasonable when conservatives worry that the Dutch attitudes towards euthanasia are influenced by the burden old people and severely disabled children put on the public purse. I don't see how they could fail to be.

Then, like a true asshole, she pretends she's not saying what she's been saying:

So I don't think it's crazy that Rasmussen is reporting that 51% of people now trust their insurance companies more than the government to handle their health care. In fact, I expect that number to go up. This is not, as some libertarians would have it, because the free market is Teh Awesome, while the government is Teh Suck. It's because the two institutions are, on this particular question, balancing each other. In doing so, they are creating cost inflation. But they're preventing something that many people legitimately believe is worse.

Without a profit margin in health care, the government will kill people, it's just that simple. This is teabagger/birther level stupid, but it serves Megan's career and ideological goals, so there it is.