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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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+++ 24. Dezember 2014 +++

China, Not the EU, Providing Investment to Eastern Europe

Chinese Premier Li Keqiang was very much welcomed at the third China-Central and Eastern European Countries (CEEC) meeting in Belgrade on Dec. 16, which brought together 16 of Li's counterparts from C... [weiter]

+++ 24. Dezember 2014 +++

China to Build Belgrade-Budapest High-Speed Rail To Be Running in 2.5 Years

During Chinese Prime Minister Li Keqiang's visit to Serbia, China secured an agreement to modernize the railway between Budapest and Belgrade, with Li attending the signing ceremony Dec. 17, one day a... [weiter]

+++ 24. Dezember 2014 +++

EU Leaders Discuss Infrastructure Projects, While China Builds Them

CNBC-TV, the American channel devoted to stock markets and Wall Street, posted Dec. 22 a sobering economics analysis by Michael Ivanovitch, the president of MSI Global, a New York-based economi... [weiter]

+++ 23. Dezember 2014 +++

Russia Debates Capital and Currency Controls to Counter Financial Warfare

Russian leaders have clearly recognized that the international interests that are waging massive financial warfare against Russia are the same as those behind the military provocations and the drive f... [weiter]

+++ 23. Dezember 2014 +++

Commodity Speculation Leads to Revival of Capital Controls

Although the Russian government has not yet taken measures to restrict... [weiter]

+++ 23. Dezember 2014 +++

New York State Bans Fracking

The State of New York announced Dec. 17 a ban on extraction of natural gas by hydraulic fracturing ("fracking"), citing concerns over health risks. Environmental advocates pointed out that this is the... [weiter]

+++ 23. Dezember 2014 +++

Bill Clinton: The Prosperity of Other Nations Is Good for the U.S.

Former United States President Bill Clinton recently laid out an approach to foreign policy, which is very much opposed to that pursued by Barack Obama or by his predecessor George W. Bush.
In ... [weiter]

+++ 18. Dezember 2014 +++

US-Folterprogramm: Es ist an der Zeit, die „Ära nach dem 11. September“ zu beenden!

Am 9.12. veröffentlichte die Vorsitzende des Geheimdienstausschusses des US-Senats, Dianne Feinstein, Teile des Berichts des Ausschusses über das Folter- und Entführungsprogramm der Jahre 2001-06 unte... [weiter]

+++ 18. Dezember 2014 +++

Die Rolle der Saudis im 11.9.2001 wird weiter vertuscht

Schon aus den stark zensierten veröffentlichten 550 Seiten des mehr als 6000 Seiten langen Senatsberichts wird deutlich, daß das Folterprogramm der CIA – wobei Verdächtige ins Ausland verbracht wurden... [weiter]

+++ 18. Dezember 2014 +++

Democrats Revolt against Obama's Bailout of Wall Street,
Glass-Steagall Is Only Viable Option

Late in the evening of Dec. 11, the House of Representatives narrowly voted up a spending bill, that included greater taxpayer protection for banks involved in high-risk derivatives contracts. Two day... [weiter]

+++ 18. Dezember 2014 +++

Europeans and NATO Complicit in CIA Secret Prisons

Former Swiss parliamentarian and prosecutor Dick Marty was appointed by the Council of Europe in 2005 to lead an official investigation into illegal CIA detention centers in Europe. His investigation ... [weiter]

+++ 18. Dezember 2014 +++

Torture Program: What Did Tony Blair Know?

The report on CIA “enhanced interrogations” raises the question of the rôle of former British Prime Minister Tony Blair, who was a full partner, if not the controller, of the White House under Bush-Ch... [weiter]

+++ 18. Dezember 2014 +++

Prominente warnen: maßgebliche Regierungen unterschätzen Risiken durch Kernwaffen

Mehr als 120 Persönlichkeiten aus Politik, Militär und Diplomatie aus 46 Ländern warnen in einem Offenen Brief vor der Gefahr eines Atomkrieges. Ihr Brief ist anläßlich der Wiener Konferenz zu den hum... [weiter]

+++ 12. Dezember 2014 +++

Bush-Cheney Torture Program Was Designed To Elicit False Confessions, Not Intelligence

The Senate torture report confirms what many have known for years: that the torture program promoted by then Vice President Dick Cheney et al. was not designed to produce real intelligence – since eve... [weiter]

+++ 12. Dezember 2014 +++

Senate Torture Report Should Finish Off Jeb Bush's Career

Senator Dianne Feinstein, the outgoing Chair of the Senate Select Committee on Intelligence, delivered on her promise to expose the CIA's torture program during the Bush-Cheney Administration on Dec. ... [weiter]

+++ 12. Dezember 2014 +++

Ebola Has Surged Out of Control in Sierra Leone

Despite indications in the Western media that the Ebola epidemic in West Africa is on the wane, the number of Ebola infections and deaths is currently raging out of control in Sierra Leone. An emerge... [weiter]

+++ 11. Dezember 2014 +++

Prominent Call for World Leaders
Not to Sleepwalk into Nuclear War

Over 120 political, military and diplomatic figures from 46 countries have warned of the danger of nuclear war in a letter addressed to Austrian Foreign Minister Sebastian Kurz, on the occasion of the... [weiter]

+++ 11. Dezember 2014 +++

Veteran UK Journalist Blasts Media Complicity
in Drive for War against Russia

Distinguished British journalist John Pilger delivered a powerful blast at the controlled news media in an address to the Logan Investigative Reporting Symposium in London on Dec. 5, for leading the w... [weiter]

+++ 10. Dezember 2014 +++

Putin mobilisiert für den Sieg in einem Krieg

Als Resultat der Konfrontationspolitik von NATO, USA und EU gegen Rußland steht die Welt gefährlich nahe am Rande eines Weltkrieges. Außerhalb von Regierungskreisen gibt es deshalb in Europa drastisch... [weiter]

+++ 10. Dezember 2014 +++

LaRouche Calls for the Immediate Ousting of Victoria Nuland

In the United States, the key figure coordinating the Ukraine crisis and confrontation with Russia is Victoria Nuland, the U.S. Assistant Secretary of State for Europe and Eurasia. She was the archite... [weiter]

+++ 10. Dezember 2014 +++

Soros and Nuland Plant Their People in Kiev Government

The government of Ukraine again demonstrated its status of a puppet state by appointing three foreigners to key posts in the new Cabinet last week.
The American Natalie Jaresko, former head of ... [weiter]

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