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



Die Neue Seidenstraße und Chinas Mondprogramm

Das Geheimnis
der Wirtschaft -
Lösung der
globalen Systemkrise:
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 ~
Alle Themen

Weitere Meldungen

+++ 3. Februar 2016 +++

Bankia: Bail-in stößt an rechtliche Grenzen in Spanien

Die in Schieflage befindliche viertgrößte Bank Spaniens, Bankia, die jetzt schon als Bail-in-Kandidatin gilt, gerät noch mehr unter Druck. Am 27.1. wies der Oberste Gerichtshof die Bank an, kleine Anl... [weiter]

+++ 3. Februar 2016 +++

Washington eskaliert Provokationen gegen Rußland und China

Obwohl sich die Lage in Konfliktgebieten wie Syrien/Irak, Libyen, Jemen und dem Horn von Afrika weiter verschärft, liegt die größere Kriegsgefahr mehr denn je auf der strategischen Ebene, zwischen den... [weiter]

+++ 3. Februar 2016 +++

Washington eskaliert Provokationen gegen Rußland und China

Obwohl sich die Lage in Konfliktgebieten wie Syrien/Irak, Libyen, Jemen und dem Horn von Afrika weiter verschärft, liegt die größere Kriegsgefahr mehr denn je auf der strategischen Ebene, zwischen den... [weiter]

+++ 3. Februar 2016 +++

Marshall Plan for South-West Asia: Europe Faces a Crucial Moral Test

Helga Zepp-LaRouche, in her webcast on Jan. 27, stressed once again the need to end the geopolitical conflicts in South-West Asia and to integrate the region into the Silk Road/World Land-bridge dynam... [weiter]

+++ 3. Februar 2016 +++

Spain's Bankia: Bail-ins Hit a Legal Roadblock

Spain's troubled Bankia bank, the country's fourth largest and a likely candidate for a bail-in, is in for much more trouble. On Jan. 27, the Supreme Court ordered the bank to reimburse small investor... [weiter]

+++ 27. Januar 2016 +++

Chinese President Brings New Silk Road Offer for Development to South-West Asia

Chinese President Xi Jinping, during his 5-day visit (Jan. 19-23) to Saudi Arabia, Egypt and Iran, brought a message of hope to a region so long afflicted by war and terror. Shortly before, celebrati... [weiter]

+++ 27. Januar 2016 +++

New Silk Road Opens the Way to the Future, As Davos Forum Prepares for Mega-Collapse

The contrast could hardly have been greater, in the third week of January, 2016, between the posh gathering of the financial and political elites at Davos, Switzerland, for the annual shebang of the W... [weiter]

+++ 26. Januar 2016 +++

Zepp-LaRouche nimmt Schäuble mit seiner Forderung nach einem Marshallplan für Südwestasien beim Wort

Ziemlich überraschend hat der deutsche Finanzminister Wolfgang Schäuble beim Davoser Weltwirtschaftsforum am 21.1. in einer Gesprächsrunde über „Die Zukunft Europas“ für einen Marshall-Plan für den Na... [weiter]

+++ 26. Januar 2016 +++

Xi Jinping in Saudi-Arabien, Ägypten und Iran: China bietet Entwicklung an

Der chinesische Präsident Xi Jinping brachte mit seinem fünftägigen Besuch (19.-23.1.) in Saudi-Arabien, Ägypten und dem Iran einer schon viel zu lang von Krieg und Terror gebeutelten Region Hoffnung.... [weiter]

+++ 26. Januar 2016 +++

Chinas Neue Seidenstraße weist den Weg in die Zukunft, Davos-Forum wartet auf den großen Crash

Letzte Woche fanden zwei Ereignisse statt, zwischen denen sich kaum ein größerer Kontrast vorstellen läßt: auf der einen Seite das pompöse Treffen der Finanz- und Wirtschaftselite beim diesjährigen We... [weiter]

+++ 24. Januar 2016 +++

Zepp-LaRouche Responds to Schäuble's Call For a Marshall Plan to Solve Refugee Crisis

Quite unexpectedly for most, German Finance Minister Wolfgang Schäuble took the occasion of a panel discussion on "Europe's Future" at the World Economic Forum in Davos on Jan. 21, to propose that a "... [weiter]

+++ 22. Januar 2016 +++

Helga Zepp-LaRouche's Role in China's New Silk Road Policy Featured in Arabic Newspaper

In the context of Chinese President Xi Jinping's visit to Saudi Arabia, Egypt and Iran, the Arabic U.A.E. newspaper Al-Ittihad published a column by Mohammed Aref, scientific and technology adv... [weiter]

+++ 22. Januar 2016 +++

Arabische Tageszeitung: Helga Zepp-LaRouches Projekt der Neuen Seidenstraße wird Realität

Die in den Vereinigten Arabischen Emiraten erscheinende Tageszeitung Al-Ittihad druckte am 21. Januar eine Kolumne des Wissenschafts- und Technologieberaters Mohammed Aref über den Besuch des c... [weiter]

+++ 22. Januar 2016 +++

Former Head Economist of BIS: The “Financial Situation Is Worse than in 2007”

On the sidelines of the World Economic Forum in Davos, Switzerland, William White, the chairman of the OECD's review committee and former chief economist of the Bank for International Settlements (BIS... [weiter]

+++ 21. Januar 2016 +++

Schlimmer als 2007: Das Finanzsystem ist unwiderruflich am Ende

Auf den Aktienbörsen der Welt wurden allein in den ersten zehn Tagen des Jahres 3,2 Bio.$ ausgelöscht, und der Zusammenbruch geht weiter. Eine „umgekehrte Hebelwirkung“ hat sich eingesetzt.
Tats... [weiter]

+++ 21. Januar 2016 +++

US-Wahlkampf: 170 Experten plädieren für Glass-Steagall Bankentrennung

170 bekannte Wirtschafts- und Finanzexperten aus mehr als 100 Universitäten und anderen Institutionen veröffentlichten in den USA einen Brief mit dem Titel „Ökonomen und Finanzexperten für Senator San... [weiter]

+++ 20. Januar 2016 +++

Worse than 2007; The Financial System Is Finished

Global stock markets wiped out $3.2 trillion in the first ten days of 2016, and the collapse continues, as "reverse leverage" sets in.
Indeed, as the commodity bubble began to burst, Wall Street... [weiter]

+++ 20. Januar 2016 +++

U.S. Presidential Campaign: 170 Economists Support Re-enactment of Glass-Steagall

One hundred and seventy prominent American academics have issued a letter titled, "Economists and Financial Experts in Favor of Sen. Sanders' Wall St. Reforms," in which they vigorously call for reins... [weiter]

+++ 14. Januar 2016 +++

Während Saudi-Arabien Religionskrieg entfacht, müssen die 28 Seiten jetzt veröffentlicht werden!

Da das neue Jahr mit dramatisch zunehmenden Spannungen in aller Welt beginnt, betonte Lyndon LaRouche, man dürfe dabei nie den allgemeinen Kontext dieser verschiedenen Einzelereignisse aus den Augen v... [weiter]

+++ 14. Januar 2016 +++

Das Haus Saud, eine Schachfigur des Empire

Um die Bedeutung der barbarischen Hinrichtungen in Saudi-Arabien, die einen Religionskrieg schüren sollen, ganz zu verstehen, muß man einige weniger offensichtliche Fakten berücksichtigen – allem vora... [weiter]

+++ 14. Januar 2016 +++

Nach den Kölner Übergriffen nimmt Helga Zepp-LaRouche die Sparpolitik unter Beschuß

Die koordinierten massiven Übergriffe auf Frauen in der Neujahrsnacht in Köln, mit sexueller Belästigung und Diebstählen durch kriminelle Banden von Männern mit „nordafrikanischem Aussehen“, beherrsch... [weiter]

Weiter zurückliegende Meldungen