No, we’re not really crazy…there is really language in the House healthcare reform bill that sets up a de-facto “death board”…although of course it’s not labeled as such.
This gives a pretty good clue where some of this sort of thing is originating:
DEADLY DOCTORS: OÂ ADVISERS WANT TO RATION CARE
THE health bills coming out of Congress would put the decisions about your care in the hands of presidential appointees. They’d decide what plans cover, how much leeway your doctor will have and what seniors get under Medicare.
Start with Dr. Ezekiel Emanuel, the brother of White House Chief of Staff Rahm Emanuel. He has already been appointed to two key positions: health-policy adviser at the Office of Management and Budget and a member of Federal Council on Comparative Effectiveness Research.
Savings, he writes, will require changing how doctors think about their patients: Doctors take the Hippocratic Oath too seriously, “as an imperative to do everything for the patient regardless of the cost or effects on others” (Journal of the American Medical Association, June 18, 2008).
Yes, that’s what patients want their doctors to do. But Emanuel wants doctors to look beyond the needs of their patients and consider social justice, such as whether the money could be better spent on somebody else. Many doctors are horrified by this notion; they’ll tell you that a doctor’s job is to achieve social justice one patient at a time.
Emanuel, however, believes that “communitarianism” should guide decisions on who gets care. He says medical care should be reserved for the non-disabled, not given to those “who are irreversibly prevented from being or becoming participating citizens . . . An obvious example is not guaranteeing health services to patients with dementia” (Hastings Center Report, Nov.-Dec. ’96).
Nice turn of phrase that: ” irreversibly prevented from being or becoming participating citizens”. Those folks setting policy in the 3rd Reich Marching and Singing Society didn’t do nearly as smooth a job when they set about eliminating “useless eaters” (although tsomething may be lost in translation there).
Translation: Don’t give much care to a grandmother with Parkinson’s or a child with cerebral palsy.
He explicitly defends discrimination against older patients: “Unlike allocation by sex or race, allocation by age is not invidious discrimination; every person lives through different life stages rather than being a single age. Even if 25-year-olds receive priority over 65-year-olds, everyone who is 65 years now was previously 25 years” (Lancet, Jan. 31).
Now, SOMEBODY WITH GOVERNMENTAL AUTHORITY OVER LIFE AND DEATH WILL (of necessity) be making these sort of imposed decisions, and of course, Emmanuel isn’t alone in pushing things towards this Brave New World:
Dr. David Blumenthal, another key Obama adviser, agrees. He recommends slowing medical innovation to control health spending.
Blumenthal has long advocated government health-spending controls, though he concedes they’re “associated with longer waits” and “reduced availability of new and expensive treatments and devices” (New England Journal of Medicine, March 8, 2001). But he calls it “debatable” whether the timely care Americans get is worth the cost. (Ask a cancer patient, and you’ll get a different answer. Delay lowers your chances of survival.)
Obama appointed Blumenthal as national coordinator of health-information technology, a job that involves making sure doctors obey electronically deivered guidelines about what care the government deems appropriate and cost effective.
In the April 9 New England Journal of Medicine, Blumenthal predicted that many doctors would resist “embedded clinical decision support” — a euphemism for computers telling doctors what to do.
One would certainly HOPE this was the case…at least for your own doctor. But wait…there’s more (or rather, less) in store for us under these proposed neo-Soviet reforms:
Americans need to know what the president’s health advisers have in mind for them. Emanuel sees even basic amenities as luxuries and says Americans expect too much: “Hospital rooms in the United States offer more privacy . . . physicians’ offices are typically more conveniently located and have parking nearby and more attractive waiting rooms” (JAMA, June 18, 2008).
No one has leveled with the public about these dangerous views. Nor have most people heard about the arm-twisting, Chicago-style tactics being used to force support. In a Nov. 16, 2008, Health Care Watch column, Emanuel explained how business should be done: “Every favor to a constituency should be linked to support for the health-care reform agenda. If the automakers want a bailout, then they and their suppliers have to agree to support and lobby for the administration’s health-reform effort.”
Do we want a “reform” that empowers people like this to decide for us?
B.O. has stated that the direction of his policies can be seen by the quality and character of those advisors he surrounds himself with. Based on this, Obamacare looks more and more like something to avoid like a plague.
