OK | RESET

SUCHEN

Alle Meldungen durchsuchen  



FUSION Nr 2/2015


FUSION Nr 1/2015


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

+++ 8. Dezember 2016 +++

Glass-Steagall Works in China, and Will Be Strengthened

China's banking system has, by some estimates, issued $20 trillion in credit for economic expansion since 2008. At the same time, it has kept the exposure to derivatives down to a very small amount, c... [weiter]

+++ 8. Dezember 2016 +++

Italian Referendum: Another Big Blow for the European Union

The smashing defeat of pro-EU oligarchies in the Italian constitutional referendum of Dec. 4 opens up a new phase in European politics and bears global implications. This is the third shock delivered ... [weiter]

+++ 1. Dezember 2016 +++

Sputnik Interviews Rep of Cheminade Campaign: “Why Fillon and Le Pen Mean Blood and Tears for France”

In an interview given to Sputnik on Nov. 29,the Editor in Chief of the French newspaper Nouvelle Solidarité, Christine Bierre, expressed the views of Presidential candidate Jacques Chemi... [weiter]

+++ 1. Dezember 2016 +++

François Fillon: A "Thatcherite" Who Calls for Dialogue with Russia

Former French Prime Minister Francois Fillon smashed his opponent in the Nov. 27 second round of the presidential primary organized by Les Républicains (right wing and center parties) taking 65.5% of ... [weiter]

+++ 1. Dezember 2016 +++

China Develops "Comprehensive Cooperation" with South America

During Chinese President Xi Jinping's state visit to Ecuador, Peru, where he also attended the APEC summit, and Chile, great progress was made toward coordinating the development strategies of those c... [weiter]

+++ 26. November 2016 +++

Helga Zepp-LaRouche: Merkel Represents the Old "No Future" Paradigm, Germany Needs the Silk Road

“Heinrich Heine's famous concern comes to mind: 'When I think of Germany in the night...' Indeed, where is Germany headed, or rather, where is it drifting? The fact that Angela Merkel is going to run ... [weiter]

+++ 25. November 2016 +++

Trump's Surprise Meeting with Anti-Interventionist Tulsi Gabbard to Discuss Syria Policy

Since the U.S. presidential elections, Donald Trump has repeatedly stressed that he will reach out to all Americans, whatever their affiliations, and keep an “open mind” on many issues, to the point o... [weiter]

+++ 23. November 2016 +++

New U.S. National Security Adviser Flynn Has Long Denounced Washington's Support for Jihadis

Donald Trump’s first national security appointment gives an early indication of the changes now underway in Washington. On Nov. 18, it was announced that the President-elect had offered the job of Nat... [weiter]

+++ 23. November 2016 +++

Xi Jinping Visit to South America Bolsters Development, Independence

Wall Street boasted too soon that with its coup against Brazil’s Dilma Rousseff in August, all South America would fall inexorably back under its yoke. That was made clear in Chinese President Xi Jinp... [weiter]

+++ 20. November 2016 +++

Helga Zepp-LaRouche: The Wishful Thinking of Six Lame Ducks in Berlin

Helga Zepp-LaRouche excorciates the self-proclaimed leaders of the trans-Atlantic world in an article written for Neue Solidarität on Nov. 19, the day after lame-duck President Obama, whose “le... [weiter]

+++ 18. November 2016 +++

LaRouche: Although Clinton's Defeat Was Necessary, “I Wouldn't Depend on Trump”

The two most important aspects of the victory of Donald Trump are, first, that it was a total repudiation of the direction of the last 16 years, under George W. Bush and Barack Obama, which Hillary Cl... [weiter]

+++ 18. November 2016 +++

Trumps Wahlsieg: Menetekel für die deutschen Eliten

In einer politische Analyse vom 13.11. befaßt sich Helga Zepp-LaRouche mit den Folgen der Wahl Donald Trumps zum US-Präsidenten. Medien und Politiker hätten bei ihren Prognosen vollkommen daneben gele... [weiter]

+++ 18. November 2016 +++

German Bank Analyst Hellmeyer: China Is the Economic Heavyweight of the World

In an interview with Deutsche Wirtschaftsnachrichten dated Nov. 12 and headlined “The Decisive Growth in the World Is Occuring in the East”, Folker Hellmeyer, chief analyst of the Bremer Landes... [weiter]

+++ 13. November 2016 +++

U.S. Elections: What German Elites Cannot Grasp

In an article written on Nov. 12, Helga Zepp-LaRouche draws the consequences of the election of Donald Trump as President of the United States. The reason why the forecasts of the establishment media ... [weiter]

+++ 13. November 2016 +++

Trump Victory Offers a Reprieve of War Danger, Not Yet More

The election of Donald Trump and the defeat of Hillary Clinton and by extension of Barack Obama has provided a short reprieve in the drive for World War III against Russia, provided that the current P... [weiter]

+++ 10. November 2016 +++

Helga Zepp-LaRouche: Sigmar Gabriel Carries out Washington's Agenda in China

German Economics Minister Sigmar Gabriel, in his just-concluded trip to China, missed a historic opportunity to help avert a military confrontation pitting the West against Russia and China, and to pr... [weiter]

+++ 10. November 2016 +++

Trump Victory: A Global Shock to a Dead System

The following is a preliminary statement from the Lyndon LaRouche Political Action Committee in the United States to the Nov. 8 elections.
Nov. 9 - The stunning election victory of Don... [weiter]

+++ 10. November 2016 +++

After U.S. Presidential Elections, Jacques Cheminade Reasserts His Program

Right after being informed of the results of the U.S. Presidential election, Jacques Cheminade, a French presidential candidate for 2017, issued a statement on Nov. 9. which we quote below. The full s... [weiter]

+++ 4. November 2016 +++

Glass-Steagall Erupts in US Elections

Donald Trump, in a speech in North Carolina on Oct. 26, issued a direct call for implementing the 21st Century Glass-Steagall Act, which is currently pending before both the Senate and the House of Re... [weiter]

+++ 4. November 2016 +++

Yemenis Prepare Children's Manual on Physical Economy, BRICS and the New Silk Road

The Yemenis are once again demonstrating their capability to rise above the barbarity of the Washington-London-backed Saudi aggression, to set the course towards a brighter future for their nation and... [weiter]

+++ 4. November 2016 +++

Franco-German Declaration: Against the Threat of War, Build the Eurasian Train for Peace

On the sidelines of the Oct. 21, 2016 Schiller Institute conference in Essen, German... [weiter]

Weiter zurückliegende Meldungen