OK | RESET

SUCHEN

Alle Meldungen durchsuchen  



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


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”.)



~ deutsch + english ~
Weltweit
Alle Themen

Weitere Meldungen

+++ 15. Oktober 2014 +++

Der „Sturm über Asien“ kann und muß jetzt gestoppt werden!

Lyndon LaRouche erklärte am 9.10., in den kommenden zwei Wochen drohe dem gesamten östlichen Mittelmeerraum und ausgehend davon ganz Europa eine Katastrophe, die mit allen Mitteln verhindert werden mü... [weiter]

+++ 15. Oktober 2014 +++

Euroskeptiker erschüttern Glaubwürdigkeit der nominierten EU-Kommissare

Einige Kandidaten für die EU-Kommission wurden bei der Anhörung im Europaparlament kräftig „durch die Mangel gedreht“, am meisten der für die Finanzregulierung vorgeschlagene Brite Jonathan Hill und d... [weiter]

+++ 15. Oktober 2014 +++

EIR Representatives Expelled from World Bank in Washington
for Bringing in the BRICS Perspective

Activists concerned with democracy and human rights in Russia or China are advised to turn the spotlight on Western institutions such as the International Monetary Fund and the World Bank. Raising inc... [weiter]

+++ 15. Oktober 2014 +++

Euroskeptics Demolish Credibility of EU Commissioners-Designate in Strasbourg

The most remarkable grilling at the European Parliament was reserved for the Briton Jonathan Hill, proposed to be in charge of financial regulations, and for the Latvian Valdis Dombrovskis, Vice-Presi... [weiter]

+++ 10. Oktober 2014 +++

German Study Highlights Crimes of the Vulture Funds in Poor Countries

In its Oct. 5 edition, the daily Tiempo Argentino highlighted the study Sovereign Defaults in Court, published this year by three German researchers, which documents the history and crim... [weiter]

+++ 10. Oktober 2014 +++

Bolivian Vice President Speaks on Importance of South-South Cooperation to Fight Vultures

Almost all developing nations have supported Argentina in its fight with the vulture funds, which are demanding their pound of flesh, as evidenced in the passage of a [weiter]

+++ 10. Oktober 2014 +++

Bolivia Will Not Buy into "Carbon Bond" Schemes

In an interview Oct. 6 with Argentina's Radio Nacional, Vice President Alvaro Garcia Linera of Bolivia noted that, in addition to vulture funds, a new fight is coming up in which Southern nati... [weiter]

+++ 10. Oktober 2014 +++

WHO 20-Year Study Confirms Harmful Effects of Cannabis

Professor Wayne Hall, a narcotics advisor to the World Health Organization has just published the results of his 20-year study on the impact of marijuana use in the journal Addiction. To sum it... [weiter]

+++ 10. Oktober 2014 +++

Sergej Glazyev: Russland braucht ein neues nationales Kreditsystem

Der russische Ökonom Sergei Glazyev, Berater von Präsident Putin, hat dazu aufgerufen, ein neues System zur nationalen Kreditschöpfung einzuführen, um erfolgreich wirtschaftliche Entwicklung gewährlei... [weiter]

+++ 10. Oktober 2014 +++

Sergei Glazyev: Russia Needs a New System of Domestic Credit

Russian economist and Presidential advisor Sergei Glazyev has called for the creation of a new system of domestic credit, to guarantee successful economic development, according to a report Oct. 7 on ... [weiter]

+++ 10. Oktober 2014 +++

UN Appoints Switzerland's Jean Ziegler to Investigate Vulture Funds

The UN's Human Rights Council (UNHRC) has designated former Swiss parliamentarian Jean Ziegler, the internationally respected human rights advocate and former UN Special Rapporteur on the Right to Foo... [weiter]

+++ 10. Oktober 2014 +++

London-based Turkish Banks Funneling Money to "Islamic State"

The French magazine Marianne, which on occasion defends anti-oligarchic views, revealed in the latest issue that certain Turkish banks, based in London, are passing funds from private Saudi net... [weiter]

+++ 8. Oktober 2014 +++

„Farbige Revolution“ in Hongkong soll China destabilisieren

Der anglo-amerikanische Apparat des „Project Democracy“ wurde mobilisiert, um eine weitere Krise in China nach dem Vorbild der Auseinandersetzungen auf dem Platz des Himmlischen Friedens 1989 zu insze... [weiter]

+++ 8. Oktober 2014 +++

Scharfer Gegenwind gegen die Rußlandhetze der deutschen Medien

In der deutschen Bevölkerung brodelt seit Monaten eine breite Revolte gegen die durchweg rußlandfeindliche Propagandalinie der „etablierten“ Massenmedien, vor allem wegen der offensichtlich völlig ein... [weiter]

+++ 8. Oktober 2014 +++

Joe Biden Blurts It out:
Obama's Fiasco against the “Islamic State”

In a speech at Harvard University Oct. 2, Vice President Joseph Biden told an embarrassing half-truth about the Obama Administration’s doomed strategy for defeating the Islamic State. He lamented that... [weiter]

+++ 8. Oktober 2014 +++

Financial Vultures Drafted ECB's Second QE Action

The global financial collapse is now in a phase where central bank actions, previously considered dramatic, produce no effects or are even counterproductive. That is the case with the new QE program o... [weiter]

+++ 8. Oktober 2014 +++

Indischer Ministerpräsident Modis Botschaft in den USA:
Entwicklung zu einer Massenbewegung machen

Der Besuch des indischen Ministerpräsidenten Narendra Modi in den USA vom 26.-30.9. war für ihn ein großer Erfolg. Er sprach in Manhattan vor Zehntausenden begeisterten Indo-Amerikanern; über seine Re... [weiter]

+++ 3. Oktober 2014 +++

Hongkong Upheaval Corresponds to Classic Neocon
Regime Change "Color Revolution"

Although there are multiple foreign "Project Democracy" operations involved in the current mass upheaval in Hongkong (such as substantial annual funding from the National Endowment for Democracy, and ... [weiter]

+++ 3. Oktober 2014 +++

Whistleblower Exposes Collusion between U.S. Federal Reserve and Goldman Sachs

Another huge scandal struck Wall Street Sept. 26, when National Public Radio's “This American Life" published excerpts from 46 hours of tapes made by an employee of the New York Federal Reserve... [weiter]

+++ 3. Oktober 2014 +++

U.S. Judge Holds Argentina in Contempt of Court
for Failure to Pay Back Vulture Funds

New York Federal Judge Thomas Griesa, who handed down an outrageous court ruling a few months ago, demanding that Argentina pay back the full nominal value of sovereign bonds purchased by two vulture... [weiter]

+++ 3. Oktober 2014 +++

Cristina de Kirchner Denounces Obama Administration,
Death Threats against Her Person

In three separate speeches delivered Sept. 30 at the presidential palace, Argentina President Cristina Fernandez de Kirchner pointedly attacked the Obama administration, its allied vulture funds, and ... [weiter]

Weiter zurückliegende Meldungen