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BÜCHER


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


Schiller-Institut:
Die Weltlandbrücke
wird Realität

Jetzt mit Leseprobe:
Vorwort: Das Ende
der "freien"
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Gesetze zur Rettung
des Gemeinwohls!


Lyndon LaRouche: Die kommenden 50 Jahre

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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+++ 27. August 2014 +++

LaRouche unterstützt Forderung nach Zerschlagung des „Islamischen Staats“

In seinem wöchentlichen Internetforum am 22.8. unterstützte Lyndon LaRouche die Position von US-General Martin Dempsey, der am gleichen Tag in einer Pressekonferenz im Pentagon erklärt hatte, der Aufs... [weiter]

+++ 27. August 2014 +++

LaRouche Endorses Call to Wipe Out the "Islamic State" Insurgency

In his regular weekly international webcast on Aug. 22, Lyndon LaRouche endorsed General Martin Dempsey’s statements at a Pentagon press conference earlier in the day that the Islamic State (IS) insur... [weiter]

+++ 27. August 2014 +++

LaRouche to RIA Novosti: the BRICS Represents the Future

Under the title: “The Danger That I See Is Chaos”, Ria Novosti published an interview with Lyndon LaRouche conducted Aug. 20 by Ekaterina Kudashkina for her show Burning Point.
Thi... [weiter]

+++ 27. August 2014 +++

Argentinien: Geierfonds der Wall Street können besiegt werden

Die Geierfonds der Wall Street und der Londoner City versuchen immer noch, Wege zu finden, wie sie Argentinien zwingen können, jenen 7% seiner Gläubiger, die sich geweigert hatten, der Umstrukturierun... [weiter]

+++ 27. August 2014 +++

Bolivian Vice President: Nuclear Power Is the "Sacred Fire" of the 21st Century

Alvaro Garcia Linera, Vice President of Bolivia, made a rousing call on Aug. 21 for Bolivia to set about to master nuclear energy, so as to create the platform for his nation's technological developme... [weiter]

+++ 23. August 2014 +++

New Silk Road: Chinese Media Take up Interview with Helga Zepp-LaRouche

Xinhua reporters in Germany interviewed Helga Zepp-LaRouche several weeks ago in Wiesbaden. On Aug. 7, an article on the interview was published, in Chinese, in Xinhua and was picked up by s... [weiter]

+++ 23. August 2014 +++

Neue Seidenstraße: Chinesische Medien berichten über Interview mit Helga Zepp-LaRouche

Die offizielle chinesische Nachrichtenagentur Xinhua veröffentlichte am 7. August einen Artikel, basierend auf den Inhalt eines Interview mit Helga Zepp-LaRouche über die Bedeutung der Neuen Se... [weiter]

+++ 23. August 2014 +++

Iraq: Obama, Like Cameron, Fomenting More Illegal Wars

President Barack Obama returned briefly to Washington Aug. 18 from his two-week vacation on the plush resort of Martha's Vineyard to confer with Administration officials on the dire situation in Iraq,... [weiter]

+++ 22. August 2014 +++

Argentina Defies Wall Street and the City of London,
Offers Bondholders New Debt Swap Under Argentine Law

In yet another bold assertion of national sovereignty, Argentine President Cristina Fernandez de Kirchner announced in a televised address Aug. 19 that she had submitted a bill to Congress, offering f... [weiter]

+++ 22. August 2014 +++

Russia Demands Kiev Release Air Traffic Control Communications to Malaysian Flight 17

At a UN Security Council meeting called by Russia Aug. 19, primarily to discuss the progress of the investigation into the shooting down of Malaysian Airlines Flight 17 on July 17, Russian Ambassador ... [weiter]

+++ 20. August 2014 +++

Forderung nach UN-Intervention im Irak ist Heuchelei

Hussein Askary, der Vorsitzende der Partei der LaRouche-Bewegung in Schweden (EAP), hat die Forderung westlicher Regierungen nach einer UN-Militärintervention im Irak als „nicht bloß Heuchelei, sonder... [weiter]

+++ 20. August 2014 +++

Zepp-LaRouche: Raus aus der NATO, bevor es zu spät ist!

Helga Zepp-LaRouche fordert als Reaktion auf den veränderten Charakter der NATO und den Plan der NATO, beim kommenden Gipfel in Wales eine neue Charta zu beschließen, Deutschlands sofortigen Austritt ... [weiter]

+++ 20. August 2014 +++

ISIS in Iraq: Western Policy Is Not Only Hypocritical, but Criminal

Hussein Askary, chairman of the Swedish European Labour Party, characterized as "not only hypocritical, but criminal" calls from Western leaders for a UN military intervention into Iraq. Askary, who i... [weiter]

+++ 20. August 2014 +++

Helga Zepp-LaRouche: Leave NATO Before It is Too Late!

In light of the radically changed character of the North Atlantic Treaty Organization, and of the intention to replace the original NATO Treaty with a new Charter at the upcoming summit in the Wales, ... [weiter]

+++ 20. August 2014 +++

Is Egypt Ready to Join the BRICS?

Egyptian President and former army commander, Abdel Fattah al-Sisi, has moved to join the new economic paradigm emerging under the leadership of the BRICS (Brazil, Russia, India, China and South Afri... [weiter]

+++ 20. August 2014 +++

Egypt Launches Second Suez Canal

On Aug. 5, Egyptian President al Sisi announced a policy of returning to a policy of building great projects, including the construction of the “New Suez Canal” aimed at doubling the capacity of the c... [weiter]

+++ 7. August 2014 +++

Russland, EU: Prominente Politiker fordern Maßnahmen
zur Vermeidung einer nuklearen Konfrontation

Eine Gruppe sehr namhafter europäischer und russischer Politiker fordert in einem gemeinsamen Papier einen neuen Mechanismus für das Krisenmanagement in Europa, um zu verhindern, daß die gegenwärtige ... [weiter]

+++ 7. August 2014 +++

Nicht Argentinien sondern Wall Street und London sind bankrott

Der Internationale Verband der Swap- und Derivathändler (ISDA), unter dessen Leitung sich weltweit eine absurde, unhaltbare Blase von ca. 1700 Billionen (!) Dollar Derivatschulden aufgebläht hat, besa... [weiter]

+++ 7. August 2014 +++

Prominent European and Russian Policymakers
Call for Action to Prevent Nuclear Confrontation

A task force of very prominent European and Russian policymakers issued a paper calling for a new crisis- management mechanism in Europe to stop the current crisis from "pitting nuclear armed adversar... [weiter]

+++ 7. August 2014 +++

Vulture Funds Set Sights on All of Europe, Not Just Argentina

The same predatory vulture funds that have gotten a green light from the Obama administration and the Supreme Court of the United States to foreclose on the nation of Argentina have been quietly posit... [weiter]

+++ 7. August 2014 +++

Bankrupt Wall Street and City of London Proclaim Argentina in Default

The International Swaps and Derivatives Association (ISDA), which has approved and presided over the growth of a completely unpayable international speculative bubble of some $1.7 quadrillion in finan... [weiter]

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