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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
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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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+++ 19. Juli 2014 +++

People's Daily Covers Zepp-LaRouche on Human Rights in China

The mid-July online edition of the Chinese language People's Daily ran Helga Zepp-LaRouche's opinion piece on the West's hypocrisy on "human rights". The article was solicited by the daily, and... [weiter]

+++ 19. Juli 2014 +++

United States Senate: Sponsors of Bill To Re-Establish Glass-Steagall Seek Urgent Support

Senator Elizabeth Warren and her original three co-sponsors of the 21st Century Glass-Steagall Act of 2013 – John McCain, Maria Cantwell, and Angus King – published on opinion piece July 17 on CNN's w... [weiter]

+++ 19. Juli 2014 +++

Greenwald/Snowden: How the British Secret Services Control and Manipulate the Internet

Glenn Greenwald has released another batch of the Snowden files, focused on the role of the General Communications Headquarters (GCHQ) in controlling and running dirty operations on the Internet and i... [weiter]

+++ 16. Juli 2014 +++

German and Austrian Governments Move Ahead with Bail-ins

The German cabinet approved on July 9 European Union plans to implement the banking union. The new legislation, designed to go into effect on Jan 1, 2015, i.e., one year earlier than required by the E... [weiter]

+++ 16. Juli 2014 +++

Ukraine: Natalia Vitrenko Threatened by Security Agency and Courts

The Kiev Court of Appeals has upheld the seizure of bank accounts belonging to the All-Ukraine Women's Public Organization "Gift of Life," headed by Dr. Natalia Vitrenko, who also chairs the Progressi... [weiter]

+++ 16. Juli 2014 +++

Franko-amerikanische Beziehungen: das Faß läuft über

Von jetzt ab gibt es in den franko-amerikanischen Beziehungen ein „vorher“ und „nachher“: Die unerhörten Sanktionen des US-Justizministeriums gegen die französische multinationale Bank BNP Paribas sin... [weiter]

+++ 16. Juli 2014 +++

Rußland und Argentinien bekräftigen überstimmende Außenpolitik

Auf dem Weg zum BRICS-Gipfel in Brasilien besuchte der russische Präsident Putin Kuba, machte einen spontanen Zwischenstopp in Nicaragua und traf dann am 12.7. zu Gesprächen mit Staatspräsidentin Cris... [weiter]

+++ 16. Juli 2014 +++

ECLAC-Studie bestätigt Erfolg des argentinischen Wirtschaftsmodells

Genau zum richtigen Zeitpunkt veröffentlichte die Wirtschaftskommission für Lateinamerika und die Karibik (ECLAC) der UN einen neuen Bericht, der hervorhebt, daß Argentinien von 2002-10 die höchste du... [weiter]

+++ 13. Juli 2014 +++

Russischer Ökonom Sergej Glasjew greift "Eurofaschismus" an

In dem von Lyndon LaRouche gegründeten US-Nachrichtenmagazin Executive Intelligence Review (EIR) erschien in der Ausgabe vom 27.6.2014 unter der Überschrift Über Eurofaschismus ei... [weiter]

+++ 10. Juli 2014 +++

Argentina Paid Its Debt by Growing Its Economy, Not with Austerity

The United Nations Economic Commission on Latin America and the Caribbean (ECLAC), has just issued a report showing that between 2002 and 2010, Argentina had the highest average annual economic growth... [weiter]

+++ 10. Juli 2014 +++

600,000 Americans Sign Petition to Senate Calling for Glass-Steagall

Since the LaRouche movement launched in 2008 a campaign for a strict separation between commercial banks, which enjoy federal deposit insurance, and investment banks involved in high-risk adventures, ... [weiter]

+++ 10. Juli 2014 +++

The BRICS Bank, a Step toward Currency Stability, away from the Dollar

The new BRICS Development Bank, wrote China Daily July 7 citing experts, will help those five countries (Brazil, Russia, India, China, South Africa) "become less dependent on the US dollar and ... [weiter]

+++ 10. Juli 2014 +++

German Nuclear Exit Absurd, Its Power Plants Are World Champions

According to a report in ker... [weiter]

+++ 9. Juli 2014 +++

Überwältigende Unterstützung für Argentinien in der Schlacht gegen die Geierfonds

Das kürzlich vom Obersten Gerichtshof bestätigte Urteil in den USA, das die Forderungen von zwei „Geierfonds“ an Argentinien – mit einer Profitrate von 1608% – für rechtmäßig und eintreibbar erklärt h... [weiter]

+++ 9. Juli 2014 +++

Schweizer Bürger fordern Trennbankensystem und sagen Nein zum Bail-in

Die weltweite finanzielle und strategische Krise war Gegenstand eines Symposiums mit dem Titel „Die Schweiz im Strudel der Globalisierung“, das am 28.6. in Zürich von der „Impulswelle“ veranstaltet wu... [weiter]

+++ 9. Juli 2014 +++

China Launches New International Development Bank for Infrastructure

Chinese leaders are moving apace to set up the Asia Infrastructure Investment Bank, with a view to to financing the exciting New Silk Road project, among other projects. It is expected to have a capit... [weiter]

+++ 9. Juli 2014 +++

New Silk Road Perspective Presented to the Académie de Géopolitique de Paris

Christine Bierre, a representative of the Schiller Institute and editor of Nouvelle Solidarité, was among the speakers at a July 3 colloquium on the theme « What future for Ukraine ? », organiz... [weiter]

+++ 4. Juli 2014 +++

Conference on Bank Separation (Glass-Steagall) Held in Zurich:
“Switzerland in the Vortex of Globalization”

The financial and strategic crises were the theme of a full-day symposium June 28 in Zurich, organized by “Impulswelle”, a group of Swiss citizens campaigning for a Glass-Steagall type separation of b... [weiter]

+++ 4. Juli 2014 +++

Argentina Wins Strong Backing from OAS in its War against the Vulture Funds

The Foreign Affairs Ministers of of the Organization of American States (OAS) met in Washington, D.C., July 3 for a hastily organized meeting to discuss the restructuring of Argentina's debt, in the a... [weiter]

+++ 4. Juli 2014 +++

Guyana Urges Return to Glass-Steagall at Historic OAS Meeting

The Minister of Transport and Water Works of Guyana, Robeson Benn, speaking in his capacity as Acting Foreign Minister at the hastily-called meeting of Ministers of Foreign Affairs of the Organization... [weiter]

+++ 4. Juli 2014 +++

Venezuelan Foreign Minister Calls for Redesigning the International Financial Economic System

At the July 3 OAS meeting in Washington, Venezuelan Foreign Minister Elias Jaua dramatically began his remarks by reading the opening paragraphs of a letter denouncing gunboat diplomacy to collect on ... [weiter]

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