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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"
Marktwirtschaft -
Wir brauchen
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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+++ 30. Januar 2015 +++

E.I.R. Konferenzen:
Die Neue Seidenstraße wird zur Weltlandbrücke

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+++ 30. Januar 2015 +++

Greece and EU: Will the Principles of the 1953 London Debt Conference Be Applied?

The new Greek government of Alexis Tsipras came into power committed to rejecting the murderous austerity conditions of the Troika, and to pursuing an approach explicitly identified with the 60% write... [weiter]

+++ 30. Januar 2015 +++

Eine eindrucksvolle Abwahl der Troika in Griechenland

Die Parlamentswahl in Griechenland am 25.1., die mit einem überragenden Erfolg von SYRIZA endete, war ein klares, beeindruckendes Signal gegen die mörderische Austeritätspolitik der Troika (EU, EZB, I... [weiter]

+++ 30. Januar 2015 +++

LaRouche Hails Stunning Repudiation of Troika by the Greeks

The results of the Jan. 25 Greek elections, which gave Syriza a near-landslide victory, were a powerful repudiation of the murderous austerity policies imposed on Greece by the Troika (EU, ECB, IMF). ... [weiter]

+++ 30. Januar 2015 +++

Egon Bahr fordert ein Äquivalent zum Westfälischen Frieden für heute

Inmitten des enormen Fraktionskampfs um die deutsche Außen- und insbesondere Rußlandpolitik machte der 92jährige SPD-Veteran Egon Bahr einen wichtigen Vorschlag, der unseren Lesern vertraut erscheinen... [weiter]

+++ 30. Januar 2015 +++

Egon Bahr: We Need Something Like the Treaty of Westphalia

In the midst of the huge fight in Germany over foreign policy, in particular toward Russia, the 92 year-old legendary SPD figure, Egon Bahr, came out with an important proposal, which our readers are ... [weiter]

+++ 30. Januar 2015 +++

Obamas „Rede der Illusionen“ an die Nation

„Der Schatten der Krise ist vorübergezogen, und die Lage der Nation ist stark“ – mit diesen Worten in der Einleitung seiner jährlichen Rede zur Lage der Nation bewies US-Präsident Barack Obama am 20.1... [weiter]

+++ 30. Januar 2015 +++

The Transaqua Water Project, an Antidote to Boko Haram Terrorism

When militants from the terrorist group Boko Haram captured the town of Baga in early January, slaughtering hundreds of people and razing thousands of homes in their path, it finally drew attention ag... [weiter]

+++ 26. Januar 2015 +++

Unabhängige Griechen: Panos Kammenos erläutert das Programm seiner Partei

Der Koalitionspartner der neuen Anti-Troika-Regierung Griechenlands werden die “Unabhängigen Griechen”, mit 4,75% der abgegeben Stimmen und 13 Sitzen im neuen Parlament. Der Vorsitzende der Unabhängig... [weiter]

+++ 26. Januar 2015 +++

Independent Greeks: Panos Kammenos Explains His Party's Policy

The coalition partner of the new anti-Troika government of Greece will be the Independent Greeks which, with 4.75% of the votes, will have 13 seats in the new Parliament. The head of the Independent G... [weiter]

+++ 26. Januar 2015 +++

Das Programm der "Unabhängigen Griechen", präsentiert von Panos Kammenos

Bei der Frankfurter Konferenz des Schiller-Instituts im Oktober 2014 sprach Panos Kammenos, der Vorsitzende der "Unabhängigen Griechen" und designierter stellvertretender Ministerpräsident der neuen g... [weiter]

+++ 25. Januar 2015 +++

State of the Union Address: President Obama Presents a Message of Confrontation and Delusion

Barack Obama's constitutionally mandated "State of the Union" speech, Jan. 20, reflected a very serious state of delusion about the real situation of the United States, internally and in the world, an... [weiter]

+++ 25. Januar 2015 +++

France: Swiss National Bank Decision Blows up Toxic Debt Bomb

The sudden move by the Swiss National Bank (SNB) to drop its currency link to the euro has already caused an explosion of financial losses, with many more expected.
The SNB had kept the Swiss fr... [weiter]

+++ 22. Januar 2015 +++

Rußland-Koordinator der deutschen Regierung:
Der Westen sollte Kiews Offensive nicht finanzieren

Der Koordinator der Rußlandpolitik der Bundesregierung, Gernot Erler (SPD), beendete seinen Diskussionsbeitrag auf einer öffentlichen Veranstaltung im Bundestag am 15.1. mit einer klaren Warnung, der ... [weiter]

+++ 22. Januar 2015 +++

Schweizer Zentralbank verläßt das sinkende Schiff

Die Schweizerische Nationalbank (SNB) schockierte die Welt, als sie am 16.1. die auf 1,20 fixierte Bindung des Franken an den Euro aufhob. SNB-Chef Thomas Jordan erklärte dazu nannte dafür „internatio... [weiter]

+++ 22. Januar 2015 +++

German Coordinator for Russia: West Should Not Finance Kiev Offensive

Gernot Erler of the SPD, who coordinates the Russian policy of the German government, ended his intervention at a public event held Jan. 15 in the Bundestag with a stark warning that the West should n... [weiter]

+++ 22. Januar 2015 +++

To Fight Terrorism Effectively, Go For the Top

The attack Jan. 7 in Paris against Charlie Hebdo shocked many Europeans into to finally realizing that the West's strategy of training and arming extremist jihadists to effect regime change in ... [weiter]

+++ 22. Januar 2015 +++

Democrats Mobilize against Wall Street and President Obama

When President Obama met with Senate Democrats at their annual "retreat" in Baltimore on Jan. 15, to map out a strategy for the new Congress, no press were allowed to attend, contrary to previous year... [weiter]

+++ 22. Januar 2015 +++

Glass-Steagall Bill Reintroduced in the U.S. Congress

On Jan. 14, Democratic Congresswoman Marcy Kaptur re-introduced a bill for Glass-Steagall, H.R. 381, with 15 cosponsors. The bill would force commercial banks to split off their trading operations, le... [weiter]

+++ 22. Januar 2015 +++

Glass-Steagall-Gesetzesantrag im neuen Kongreß

Am 14.1. brachte die demokratische Abgeordnete Marcy Kaptur mit 15 weiteren Unterzeichnern erneut einen Gesetzentwurf für eine Glass-Steagall-Bankentrennung (H.R. 381) ein. Geschäftsbanken sollen dami... [weiter]

+++ 16. Januar 2015 +++

Potential Breakthrough in Talks Between North and South Korea

"I am willing to meet anyone to ease this pain and for peaceful unification," stated South Korean President Park Geun-hye Jan. 12. "For this purpose, I am willing to have a summit meeting with North K... [weiter]

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