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Das Geheimnis
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globalen Systemkrise:
Trennbankensystem
und produktive Kreditschöpfung


Schiller-Institut:
Die Weltlandbrücke
wird Realität

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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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+++ 21. November 2014 +++

New EIR Study: The New Silk Road Becomes the World Land-Bridge

EIR’s comprehensive study of the progress of the Eurasian Land-Bridge project has been completed and is due to be released Dec. 1.
The 374-page report, entitled The New Silk Road Becom... [weiter]

+++ 21. November 2014 +++

Senate Committee Exposes Scandalous Wall Street Manipulation of Commodities

Senator Carl Levin of Michigan, chairman of the Permanent Investigations Subcommittee of the Senate Homeland Security and Governmental Affairs Committee, presented Nov. 19 the conclusions of the 400-p... [weiter]

+++ 21. November 2014 +++

Goldman Sachs Scams Aluminum Commodities Markets

Senator Carl Levin, in presenting the results of a two-year study on commodities manipulations by his Permanent Investigations Subcommittee, focussed in particular on the role of Goldman Sachs on the ... [weiter]

+++ 21. November 2014 +++

Lake Chad Basin Commission Discusses Transaqua Project

EIR's Africa Desk editor Lawrence Freeman, who is a member of the International Scientific Advisory Committee (ISAC) to the Lake Chad Basin Committee (LCBC), just attended the inaugural conference of ... [weiter]

+++ 19. November 2014 +++

BRICS, APEC: die G20 ist nicht mehr tonangebend

Die Gezeitenwende in der Weltordnung, die mit dem Gipfel der BRICS-Gruppe (Brasilien, Rußland, Indien, China, Südafrika) im Juli in Brasilien konsolidiert wurde, erreichte im Zusammenhang mit dem Gipf... [weiter]

+++ 19. November 2014 +++

From the BRICS to APEC, the G20 Is No Longer the Driving Force

The fundamental change in the world order that was consolidated at the July summit of the BRICS (Brazil, Russia, India, China, South Africa) in Brazil was taken to a much higher stage at and around t... [weiter]

+++ 19. November 2014 +++

Philae: a Critical Mission for Understanding the Solar System

Executing an extremely difficult mission, the European Space Agency's Rosetta mission has given mankind its first in situ look at one of the most primitive bodies in the Solar System. After a ten year... [weiter]

+++ 19. November 2014 +++

Angriff auf den Rubel löst in Rußland Debatte über
Kapitalkontrollen und Bankentrennung aus

Der verschärfte Finanzkrieg gegen Rußland hat eine Debatte über einen Kurswechsel der Banken- und Kreditpolitik des Landes ausgelöst. Akademiemitglied Sergej Glasjew, ein Berater Präsident Putins zur ... [weiter]

+++ 14. November 2014 +++

Modi's Ambitious Plan Presented in Berlin:
One Million New Jobs Every Month!

The Third Indo-German Investment Forum, held Nov. 12 in Berlin, featured the ambitious plans of the Modi government to launch a crash program for industry and jobs. The centerpiece of the policy is th... [weiter]

+++ 14. November 2014 +++

France Should Join the New Silk Road, Says Former Prime Minister Raffarin

The French-China economic forum will be held Dec. 3-5 at a time when bilateral relations are relatively positive. While French diplomacy in Southwest Asia is very bad, and is far too submissive to the... [weiter]

+++ 14. November 2014 +++

Attack on Ruble Prompts Russian Debate of Capital Controls, Glass-Steagall Principle

Intensified financial warfare against Russia has prompted a debate about possible healthy changes in the country's banking and credit policy. Academician Sergei Glazyev, an adviser to President Vladim... [weiter]

+++ 13. November 2014 +++

Wall Street Journal Worries that China's Marshall Plan for Asia “Out-Americans the Americans”

The lead editorial in the Nov. 12 Wall Street Journal signals that Western financial interests are now more worried than ever, since the APEC summit in Beijing Nov. 9-10, that China's two new r... [weiter]

+++ 13. November 2014 +++

General Breedlove Just Can't Stop Provoking Russia

NATO Commander General Breedlove told Reuters in an interview Nov. 11 that Russia has moved nuclear-capable weapons to Crimea, but does not know if they are equipped with such weapons. Indeed, ... [weiter]

+++ 12. November 2014 +++

APEC-Treffen: China kündigt neuen „Seidenstraßen-Fonds“ an

Bei einem Treffen mit asiatischen Staats- und Regierungschefs unmittelbar vor dem Gipfeltreffen der Asiatisch-Pazifischen Wirtschaftskooperation (APEC) kündigte Chinas Präsident Xi Jinping am 8.11. an... [weiter]

+++ 12. November 2014 +++

China Announces New "Silk Road Fund" at APEC Gathering

At a meeting with a number of Asian countries leaders Nov. 8 in Beijing, on the eve of the APEC (Asia Pacific Economic Cooperation) summit, Chinese President Xi Jinping announced that his government w... [weiter]

+++ 12. November 2014 +++

Will Saudi-Arabien einen Krieg gegen den Iran provozieren?

Das saudische Königshaus ist offensichtlich wütend über die jüngsten positiven Entwicklungen um den Iran in Südwestasien – so bei der Diplomatie mit den USA, Fortschritten im Kampf gegen ISIS im Irak ... [weiter]

+++ 12. November 2014 +++

Neonazi-Milizenführer wird Polizeichef von Kiew

Sogar politische Gruppen, die den Putsch in der Ukraine unterstützen, schlagen Alarm, weil der Milizenführer Wadim Trojan, Vizekommandeur des Bataillons Asow und mutmaßliches aktives Mitglied der para... [weiter]

+++ 12. November 2014 +++

Is Saudi Arabia out to Provoke War with Iran?

The Saudi ruling family is clearly enraged by the recent positive developments involving Iran in South-West Asia, including diplomatic progress with the United States, advances against ISIS in Iraq wi... [weiter]

+++ 12. November 2014 +++

Nazi Paramilitary Leader Appointed Police Chief of Kiev

Even pro-coup political groupings in Ukraine are sending out the alarm about the recent appointment of paramilitary leader Vadim Troyan, deputy commander of the Azov Battalion and reputed active membe... [weiter]

+++ 7. November 2014 +++

After U.S. Mid-Term Elections
Time for “Thanksgiving Massacre” at the White House

U.S. economist Lyndon LaRouche demanded Nov. 6 a thorough house-cleaning of the Obama Administration, leading rapidly to President Obama's own removal from office by impeachment. Similar to the “Hallo... [weiter]

+++ 7. November 2014 +++

Saudi Oil Warfare Aimed at the BRICS

A senior analyst of Asia Times, Pepe Escobar, wrote in RT (Nov. 4) that "the BRICS are seen as a major threat'' by the Obama administration. Citing the collapsing price of oil in the in... [weiter]

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