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BÜCHER


Die Neue Seidenstraße und Chinas Mondprogramm


Das Geheimnis
der Wirtschaft -
Lösung der
globalen Systemkrise:
Trennbankensystem
und produktive Kreditschöpfung

Das Prinzip von Entwicklung: Dynamik, nicht Statistik

Von der Ehrlichkeit gegenüber der Natur

Max Planck zum 150. Geburtstag

Überlegungen zur Klimahypothese:
Von der Physik der Atmosphäre aus gesehen, gibt es kein Klima. In der Atmosphäre spielt nur das Wetter eine Rolle.

+++ 20. August 2009 +++

Cost effectiveness and Nazi Medecine,
the Chilling Example of Dr. Ezekiel Emanuel

In October 1939, Adolf Hitler issued a decree ordering the death of those who were considered “unworthy of life”, stating that patients considered incurable, be accorded a “mercy death”. The extermination started with the mentally ill, the terminally ill, invalids, and the disabled, and eventually spread to millions of Jews, Gypsies and other “undesirables”, who were worked to death or exterminated in concentration camps. This monstrous program was initially sold as a way of “easing the economic burden represented by people suffering from hereditary diseases”.

In today's debate about skyrocketing health care costs and health-care reform, the same type of “pragmatic” arguments are coming from top advisers in the Obama White House and the President himself – although couched in different terms.

A most egregious case is White House special health policy advisor Ezekiel Emanuel, who is also a member of the Federal Coordinating Council on Comparative Effectiveness Research, the 15 member panel that is to decide which medical care and medication will be permitted, and which will not. For those who might doubt the nazi parallels or the danger of systematic rationing of treatment, it is useful to consider what Dr Emanuel has written.

In the British medical journal Lancet, he elaborated a method for selecting which sections of the population should be denied health care in what order, in an article entitled, tellingly, "Principles for Allocation of Scarce Medical Interventions." That article was published on Jan. 31, 2009, which was 11 days after Barack Obama's inauguration. Then on March 19, Ezekiel Emanuel was appointed to the FCCCER – in spite of his well-documented positions on cutting costs for the most vulnerable sections of the population.

In the Lancet article, Dr. Emanuel describes his method of "Complete Lives System," saying it: "produces a priority curve on which individuals aged between roughly 15 and 40 years get the most substantial chance, whereas the youngest and oldest people get chances that are attenuated." This may be justified by public opinion, since "broad consensus favors adolescents over very young infants, and young adults over very elderly people." He goes on to explain that the "death of a 20-year-old woman is intuitively worse than that of a 2-month-old girl". And so on ad nauseam.

Dr. Emanuel, a bioethicist (i.e. eugenicist), claims his system is preferable to such inhuman accounting methods as Quality-Adjusted Life Years and Disability-Adjusted Life Years: “the complete lives system is least vulnerable to corruption. Age can be established quickly and accurately from identity documents.” (And the designated victims carted away, he could have added.)

Ezekiel Emanuel has also called for a reinterpretation of the physician's Hippocratic Oath, in order to take account of “costs” and “effect on others”. In an article in the Journal of the American Medical Assocation (June 18, 2008), he wrote: “At least 7 factors drive overuse [of medical care], 4 related to physicians and 3 related to patients. First, there is the matter of physician culture. Medical school education and postgraduate training emphasize thoroughness. When evaluating a patient, students, interns, and residents are trained to identify and praised for and graded on enumerating all possible diagnoses and tests that would confirm or exclude them.... In medical training, meticulousness, not effectiveness, is rewarded.

“This mentality carries over into practice. Peer recognition goes to the most thorough and aggressive physicians. The prudent physician is not deemed particularly competent, but rather inadequate. This culture is further reinforced by a unique understanding of professional obligations, specifically, the Hippocratic oath's admonition to 'use my power to help the sick to the best of my ability and judgment' as an imperative to do everything for the patient regardless of cost or effect on others." (emphasis added).

The potential savings from legalizing physician-assisted suicide has been a major area of interest for Ezekiel Emanuel. Fortunately for the terminally ill in over-crowded hospitals, he did, however, conclude in a 1998 article, that “Physician-assisted suicide is not likely to save substantial amounts of money in absolute or relative terms... for the nation as a whole.” So, at least he doesn't push that.

When Hitler set up his T4 program, to eliminate "useless eaters" from Germany's hospitals and nursing homes, he turned to a “non-political” body of medical experts to make the ugly decisions on who would die. Dr. Emanuel, in his 2008 book Healthcare, Guaranteed: A Simple, Secure Solution for America, called for phasing out Medicare, Medicaid, and the low-income children's health program SCHIP, and replacing them with government-paid private insurance. But the oversight on the approved payments, procedures, etc., he said, is to be made by an “independent” National Health Board, “to reduce political interference and allow the necessary tough choices to be made.” The Board should be nominated by the President, and confirmed by Congress, but otherwise not subject to objection from victims or voters, even being funded independently of Congressional appropriations.

It gets even worse, when one looks back to an essay co-published in the Hastings Center Report of Nov-Dec 1996) by Emanuel, in the context of so-called “academic” considerations. According to the “civic republican or deliberative democratic conception of the good”, he wrote, “services provided to individuals who are irreversibly prevented from being or becoming participating citizens are not basic and should not be guaranteed. An obvious example is not guaranteeing health services to patients with dementia.”

First exposed as “Dr. Death” by the LaRouche Political Action Committee, and then increasingly by others, Ezekiel Emanuel has made a vain attempt to convince the Washington Times that his thinking has changed. In an telephone interview from his vacation spot in Italy, Emanuel said that 20 years ago he thought rationing of care was an absolute necessity, and that there was a necessity to deny people care. But, now he has come to the conclusion that "if we got rid of unnecessary care, we would have absolutely no reason to even consider rationing except in a few cases.”

(Anton Chaitkin of Executive Intelligence Review confronted Dr. Ezekiel Emanuel with these accusations at an official hearing in Washington back on June 10. The video of his three minute intervention has been posted many times on youtube.com, and can be accessed by giving in search words “Chaitkin” and “Emanuel”.)



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+++ 29. August 2015 +++

Im Gedenken an Amelia Boynton Robinson,
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Amelia Boynton Robinson, eine zentrale Gestalt der amerikanischen Bürgerrechtsbewegung seit den dreißiger Jahren des letzten Jahrhunderts verstarb am 26.August im gesegneten Alter von 104 Jahren. Ihr ... [weiter]

+++ 29. August 2015 +++

In Memoriam: Amelia Boynton Robinson,
Collaborator of Martin Luther King

On Aug. 26, 2015, Amelia Boynton Robinson, a legendary figure of the Civil Rights Movement in the United States since the 1930s, passed away at the age of 104. Throughout her long life, she fought tir... [weiter]

+++ 29. August 2015 +++

Amelia Boynton Robinson and the American Presidency

Reflections on the passing of the "great lady" of the Civil Rights Movement, Amelia Boynton Robinson, at the age of 104
by Dennis Speed of the Schiller Institute, August 28, 2015 ... [weiter]

+++ 27. August 2015 +++

Sputnik Interviews Jacques Cheminade on Schiller Institute Anti-War Petition Drive

The French-language edition of Sputnik on Aug. 25, featured an article based on an interview with Jacques Ch... [weiter]

+++ 27. August 2015 +++

LaRouche: The Trans-Atlantic Financial System Is Over,
the BRICS Have Better Chances of Surviving

As of Monday, Aug. 24, Lyndon LaRouche stated that the world was facing a global, systemic meltdown of the system, which would produce wild, unpredictable effects across the planet in the days and wee... [weiter]

+++ 25. August 2015 +++

Größter Finanzkrach der Neuzeit: Es ist an der Zeit, die Wall Street zu schließen!

Wir haben schon letztes Jahr gewarnt, daß der zunehmende Absturz der inflationierten Rohstoffpreise könne zum Platzen der globalen Finanzblase führen, die mit Billionen Dollar Zentralbankgeldern seit ... [weiter]

+++ 25. August 2015 +++

Sputnik interviewt BüSo-Vertreterin zum Aufruf gegen den Dritten Weltkrieg

Das deutschsprachige Programm des russischen Radiosenders Sputnik brachte am 18.8. ein Live-Interview mit Elke Fimmen, der stellv. Bundesvorsitzenden der Bürgerrechtsbewegung Solidarität (BüSo)... [weiter]

+++ 25. August 2015 +++

Obama Stabs Hillary Clinton in the Back, Pushes Presidential Bid for Joe Biden

As presidential hopeful Hillary Clinton continues to be assailed on various issues, Vice President Joe Biden is considering running as an alternative candidate for the Democratic nomination. Speculati... [weiter]

+++ 25. August 2015 +++

Greece: the EU Putsch Moves into the Next Phase

Mission accomplished. The democratic government that the EU oligarchy worked tirelessly to bring down ever since it came to power 9 months ago, has fallen in Athens. A new national election will be ca... [weiter]

+++ 21. August 2015 +++

Russia Expert Stephen Cohen Warns of Danger of War Between Two Nuclear Powers

New York University Prof. Stephen F. Cohen, in his appearance on the John Batchelor radio show on Aug. 18, warned that if Kiev decides to try to retake the Donbass by force, it may lead directl... [weiter]

+++ 21. August 2015 +++

Major Anglo-American Media Concur:
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While most media in the EU continue to pretend that the third Greek bailout deal will somehow hold the Eurozone together, prominent Anglo-American media have been much more blunt, in describing it as ... [weiter]

+++ 21. August 2015 +++

Switzerland Looks Forward to Cooperation in the Asian Infrastructure Investment Bank

Speaking to Russia's Sputnik International on Aug. 17, the head of communications for Switzerland's State Secretariat for Economic Affairs (SECO), Antje Baertschi, said:

    [weiter]
+++ 20. August 2015 +++

Sputnik Radio German Program Interviews BüSo Representative on “Appeal To Stop Third World War”

The live program of Sputnik Radio, in German, featured on August 18 an interview with Elke Fimmen, the vice chairwoman of the German Civil Rights Movement Solidiarity (BüSo), on the internation... [weiter]

+++ 20. August 2015 +++

Financial Crash Clock at One Minute to Midnight, Warns the Telegraph

The London Telegraph of Aug. 17 carries the shock headline: "Doomsday Clock for Global Crash Strikes One Minute to Midnight, as Central Banks Lose Control."
The analysis under this headli... [weiter]

+++ 20. August 2015 +++

Kiev Forces on the Verge of Launching a Full Scale War in Eastern Ukraine

In an http://Aug. 14 article' target='_blank'>Aug. 14 article, Schiller Institute founder Helga Zepp-LaRouche warned against an early ... [weiter]

+++ 18. August 2015 +++

Prominente ehemalige Militärs, Diplomaten und Wissenschaftler in USA unterstützen Iran-Abkommen

Während Präsident Obama die US-Militärintervention in Syrien ausweitet, ist das Weiße Haus offenbar fest entschlossen, das zwei Jahre lang sehr mühsam ausgehandelte „Atomabkommen“ der P5+1-Gruppe mit ... [weiter]

+++ 18. August 2015 +++

Spitzenpolitiker aus dem Westen und Rußland warnen vor Weltkriegsgefahr

Wenn eine Gruppe ehemaliger Verteidigungs- und Außenminister aus Frankreich, Deutschland, Großbritannien, Rußland und anderen europäischen Ländern warnt, daß die NATO und Rußland sich auf Krieg vorber... [weiter]

+++ 18. August 2015 +++

China's Exports Hit by the Crisis in Developed Countries

Since Aug. 6 there has been much Schadenfreude in financial media about the Chinese government announcement that its exports fell by over 8.3% in July, the biggest drop in four months. Beijing's decis... [weiter]

+++ 18. August 2015 +++

German Industrialist: End Sanctions, Start Talks with Putin Instead

In an interview with the Aug. 10 issue of business weekly Wirtschaftswoche, Martin Richenhagen, CEO of the American tractor producer AGCO, had some very blunt criticism of Chancellor Merkel's ... [weiter]

+++ 16. August 2015 +++

Prominent U.S. Retired Officers, Diplomats and Scientists Call on Congress to Approve the P5+1 Deal on Iran

Normalizing relations with Iran is a crucial step toward stabilizing South West Asia and fighting the jihadi terrorists, as senior American diplomats and military leaders have recognized. On Aug. 12, ... [weiter]

+++ 15. August 2015 +++

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Unsurprisingly, NATO responded with indignation to the European Lea... [weiter]

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