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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”.)



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+++ 26. August 2016 +++

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+++ 26. August 2016 +++

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+++ 18. August 2016 +++

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+++ 18. August 2016 +++

Helga Zepp-LaRouche in Beijing : The New Silk Road Becomes the World Silk Road

 Schiller Institute founder and international chairwoman Helga Zepp-LaRouche was a speaker on July 29 at the [weiter]

+++ 18. August 2016 +++

Will the West Rise to the Challenges before the G20

Just weeks before the G20 summit, the world is witnessing an acceleration of the strategic and economic crises. On the strategic side, the allied forces of Russia and Syria are near to a decisive mili... [weiter]

+++ 4. August 2016 +++

Cheminade Statement on Pokémon GO: Stop the exodus into virtual reality and violence

French Presidential Candidate Jacques Cheminade issued the following statement on August 2 2016. The [weiter]

+++ 4. August 2016 +++

Hillary Clinton und die Kriegsfraktion

Im Londoner Telegraph erschien am 29.7. ein Exklusivinterview mit Hillary Clintons außenpolitischem Berater Jeremy Bash, der in schrillen Tönen dazu aufrief, in Syrien aktiver einzugreifen, um ... [weiter]

+++ 4. August 2016 +++

Prominenter Auftritt Zepp-LaRouches bei Treffen „politischer Gurus“ in China

Drei führende chinesische Institutionen veranstalteten am 29.-30.7. in Beijing das „Forum Think 20“ (T20) mit 500 Vertretern von Denkfabriken aus 25 Nationen zum Thema „Entwicklung neuer globaler Bezi... [weiter]

+++ 2. August 2016 +++

Helga Zepp-LaRouche and EIR Featured in Coverage of Chinese “Policy Gurus” Meet

Three leading Chinese institutions co-sponsored a “Think-20 Forum” July 29-30 in Beijing, which brought together 500 scholars from 25 countries, on the theme of "Building new global relations-new dyna... [weiter]

+++ 28. Juli 2016 +++

Zepp-LaRouche: Merkel muß Konsequenzen aus den “28 Seiten” ziehen und gemeinsam mit Rußland Terrorismus bekämpfen

In Bezug auf den schnell zunehmenden internationalen Terrorismus betonte Helga Zepp-LaRouche, die Bundesvorsitzende der Bürgerrechtsbewegung Solidarität, man müsse dringend mit Rußland zusammenarbeite... [weiter]

+++ 28. Juli 2016 +++

Zepp-LaRouche fordert erneut Verbot von Killer-Computerspielen und Internet-Gewalt!

In einer Diskussion mit Aktivisten am 24.7. befaßte sich die Bundesvorsitzende der Bürgerrechtsbewegung Solidarität Helga Zepp-LaRouche mit dem Massaker in einem Münchener Einkaufszentrum zwei Tage zu... [weiter]

+++ 28. Juli 2016 +++

Zepp-LaRouche: Merkel Must Draw Consequences of Chilcot Report and the 28 Pages, Cooperate with Russia on Counterterrorism

In an article on the strategic crisis written July 23, Helga Zepp-LaRouche, chairwoman of the Civil Rights Solidarity Movement party (BüSo), began by focussing on the threat of terrorism and violence.... [weiter]

+++ 28. Juli 2016 +++

Zepp-LaRouche Reiterates Call for Ban on Violent Video Games

In a discussion with colleagues on July 24, Helga Zepp-LaRouche addressed the atrocious massacre two days earlier in a Munich shopping area by an 18 year-old German-Iranian, followed by three other mu... [weiter]

+++ 20. Juli 2016 +++

US-Präsidentschaftswahlkampf: Glass-Steagall in den Plattformen beider Parteien

Seit dem Finanzkrach von 2008 haben die Parteigänger der Wall-Street und der Londoner City in Washington immer verzweifeltere Maßnahmen ergriffen, um das bankrotte Finanzsystem am Leben zu halten – vo... [weiter]

+++ 20. Juli 2016 +++

A Strategic Victory: 28 Pages on Saudi Role in 9/11 Finally Released

The Obama Administration finally released the (slightly redacted) 28 page chapter from the original 2002 Joint Congressional Inquiry into 9/11 release on July 15, just hours before the Congress recess... [weiter]

+++ 20. Juli 2016 +++

Cheminade: Stoppt den Terrorismus an seiner Quelle!

Jacques Cheminade, Kandidat für die Präsidentschaftswahlen in Frankreich 2017, veröffentlichte am 16.7. , nach dem Anschlag von Nizza am Ende der Feiern zum Bastille-Tag, bei dem mindestens 84 Pers... [weiter]

+++ 14. Juli 2016 +++

Chilcot Report on Illegal Iraq War: Blair Lied and Continues to Lie

Indeed, the July 6 release of the report of the Iraqi Inquiry, chaired by Sir John Chilcot, into the British role in the 2003 invasion and subsequent occupation of Iraq, is a stunning indictment of Bl... [weiter]

+++ 14. Juli 2016 +++

Why German Mittelstand Does and Should Reject the TTIP

A discredited EU Commission President, Jean-Claude Juncker, assured a lame duck United States President Barack Obama on July 7 at the NATO summit in Warsaw, that the free-trade agreement between the U... [weiter]

+++ 14. Juli 2016 +++

Chilcot-Bericht über den Irakkrieg: Tony Blair log und lügt weiter

Der am 6.7. vorgelegte Bericht unter der Leitung von Sir John Chilcot über die Untersuchung der britischen Rolle bei der Invasion und anschließenden Besetzung des Irak 2003 ist eine schockierende Ankl... [weiter]

+++ 13. Juli 2016 +++

Zepp-LaRouche: Deutsche Bank Must Be Rescued, for the Sake of World Peace!

Helga Zepp-LaRouche, chairwoman of the German Civil Rights Movement Solidarity party, issued the following statement on July 12, 2016.
The imminent threat of the bankruptcy of Deutsche Ba... [weiter]

+++ 13. Juli 2016 +++

Deutsche Bank muss gerettet werden - um des Weltfriedens willen!

Die folgende Erklärung wurde am 12 Juli von Helga Zepp-LaRouche verfaßt.
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