OK | RESET

SUCHEN

Alle Meldungen durchsuchen  



FUSION Nr 2/2014


FUSION Nr 1/2014


FUSION Nr 2/2013


FUSION Nr 1/2013


FUSION Nr 2/2012


FUSION Nr 1/2012


FUSION Nr 3/2011


FUSION Nr 2/2011


FUSION Nr 1/2011

[mehr]

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”.)



~ deutsch + english ~
Weltweit
Alle Themen

Weitere Meldungen

+++ 30. Juni 2015 +++

Paris COP21: Wie das britische Königshaus Frankreich in den Klimaschwindel hineinzog

Vom 30.11.-11.12. 2015 wird in Frankreich der nächste UN-Klimagipfel (COP21) stattfinden. Die Konferenz wird die größte offizielle internationale Veranstaltung sein, die jemals in Frankreich organisie... [weiter]

+++ 30. Juni 2015 +++

Paris COP 21, How the British Royal Family Hooked France into the Climate Change Swindle

From November 30 to December 11, 2015, France will host the UN Conference of the Parties (COP21) on Climate Change (UNFCCC). This conference, together with the process leading into it, will be the lar... [weiter]

+++ 30. Juni 2015 +++

Ärzte ohne Grenzen: Freihandelsabkommen gefährden massiv unsere Gesundheit

Ärzte ohne Grenzen: Freihandelsabkommen gefährden massiv unsere Gesundheit
Nach wochenlangem, massivem Druck des Weißen Hauses wird der US-Kongreß offenbar das Transpazifische Freihandelsabkomm... [weiter]

+++ 30. Juni 2015 +++

Doctors Without Borders Denounces TPP Free-Trade Agreement

The U.S. Senate and House of Representatives, after weeks of browbeating and arm-twisting by the White House, appear about to approve the trans-Pacific free-trade agreement (TPP) with a few cosmetic c... [weiter]

+++ 28. Juni 2015 +++

Zepp-LaRouche unterstützt Volksabstimmung in Griechenland:
“Nicht Griechenland, sondern Merkel und Schäuble sind gescheitert!”

Nachdem die EU ein weiteres Austeritätspaket von Griechenland anforderte, und die Eurogruppe das Hilfsprogramm für das Land stoppte, hat der Premierminister Tsipras ein Referendum für den 5. Juli ange... [weiter]

+++ 28. Juni 2015 +++

Referendum in Greece: Zepp-LaRouche Supports the “No”,
“The Problem Is Not Greece, but Merkel, Schäuble and the EU”

After the European Union again outrightly rejected the proposals put forth by the Greek government, and demanded more crushing austerity, Prime Minister Alexis Tsipras announced that a referendum woul... [weiter]

+++ 28. Juni 2015 +++

In Memoriam: Yevgeni Primakov, an Outstanding Russian Patriot and Diplomat

Academy of Sciences Institute of Oriental Studies, head of the Russian Foreign Intelligence Service, Foreign Minister, Prime Minister, and chairman of the Chamber of Commerce and Industry (CCI), passe... [weiter]

+++ 25. Juni 2015 +++

Zepp-LaRouche spricht bei Seidenstraßenkonferenz im chinesischen Yiwu

Beim „Internationalen Forum der Städte des Wirtschaftsgürtels der Neuen Seidenstraße“, das vom 18.-19.6. im chinesischen Yiwu, Provinz Zhejiang, stattfand, sprach Helga Zepp-LaRouche vor mehreren hund... [weiter]

+++ 24. Juni 2015 +++

Zepp-LaRouche Addresses “One Belt, One Road” Conference in Yiwu, China

The reality of the strategic threats situation facing the world was underscored by Helga Zepp-LaRouche in her intervention last week at the “Silk Road Economic Belt Cities International Forum” in Yi... [weiter]

+++ 24. Juni 2015 +++

US-Kongreß untersagt Ausbildung faschistischer Milizen in der Ukraine

Der US-Kongreß stimmte geschlossen für zwei Gesetzesergänzungen, die die Ausbildung der paramilitärischen Neonazi-Gruppe „Asow-Bataillon“ in der Ukraine und die Lieferung von tragbaren Luftabwehrwaffe... [weiter]

+++ 24. Juni 2015 +++

US. Congressmen Ban Training of Neo-Nazi Militias in Ukraine

The United States House of Representatives has unanimously adopted two amendments, which block the training of the Ukrainian neo-Nazi paramilitary militia "Azov Battalion", and prevent the transfer o... [weiter]

+++ 24. Juni 2015 +++

Beschäftigung in Deutschland und der Schweiz leidet unter Rußland-Sanktionen

Eine neue Studie des Österreichischen Instituts für Wirtschaftsfors... [weiter]

+++ 24. Juni 2015 +++

Schellnhuber: ein Mephistopheles im Vatikan

Die neue päpstliche Enzyklika Laudato si stellt eine drastische Abkehr von früheren Ansichten des Vatikans dar. Es heißt dort ausdrücklich, „die Idee des unendlichen und grenzenlosen Wachstums“... [weiter]

+++ 24. Juni 2015 +++

Schellnhuber: Mephistopheles Haunts the Vatican

The new papal encylical Laudato si represents a drastic shift from earlier views of the Vatican. It states outrightly that “the idea of infinite or unlimited growth” is “based on the lie that t... [weiter]

+++ 17. Juni 2015 +++

Massive Angriffe auf Merkels Außenpolitik

Bundeskanzlerin Merkel wurde in den vergangenen Wochen ungewöhnlich scharf kritisiert, weil sie den russischen Präsidenten nicht zum G7-Gipfel in Bayern eingeladen hat. Zu den Kritikern gehören die be... [weiter]

+++ 17. Juni 2015 +++

LaRouche: Wahlkampf bietet Möglichkeit, die Präsidentschaft neu zu gestalten

Die „Experten“ versichern, die US-Präsidentschaftswahl werde auf einen Zweikampf zwischen Hillary Clinton und Jeb Bush hinauslaufen, aber die Umfragen zeigen eine große Unsicherheit bei den Wählern, w... [weiter]

+++ 17. Juni 2015 +++

O’Malley: der Alptraum der Wall Street, der nicht verschwindet

Das politische Aktionskomitee für den demokratischen Präsidentschaftskandidaten Martin O’Malley verbreitet einen neuen Fernseh-Wahlwerbespot mit dem Titel „Der offizielle Feind Nummer Eins der Wall St... [weiter]

+++ 17. Juni 2015 +++

LaRouche: U.S. Presidential Campaign Offers Chance to Shape a New Presidency

Despite the persistent droning of pundits who assert that the 2016 U.S. Presidential election will be a face-off between Hillary Clinton and Jeb Bush, polls show a volatility, among likely voters, whi... [weiter]

+++ 17. Juni 2015 +++

O'Malley: Wall Street's Nightmare That Won't Go Away

The Political Action Committee supporting the Democratic presidential campaign of Martin O'Malley has put out a new television ad titled “Wall Street’s Public Enemy No. 1.”
The ad quotes from O... [weiter]

+++ 2. Juni 2015 +++

Mit Martin O’Malley wird Bankentrennung zum großen Thema im US-Präsidentschaftswahlkampf

Am 30.5. kündigte der Demokrat Martin O’Malley seine Kandidatur für den US-Präsidentschaftswahlkampf 2016 an und versprach, aus der gewohnten Politik auszubrechen. O’Malley, der zweimal zum Bürgermei... [weiter]

+++ 2. Juni 2015 +++

Martin O'Malley Enters the U.S. Presidential Race,
Puts Glass-Steagall Center-Stage

On May 30, Democrat Martin O'Malley announced his candidacy for the 2016 Presidential race, promising a break with “politics as usual”. O'Malley, who previously was elected twice Mayor of Baltimore, a... [weiter]

Weiter zurückliegende Meldungen