Alle Meldungen durchsuchen  

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



Das Geheimnis
der Wirtschaft -
Lösung der
globalen Systemkrise:
und produktive Kreditschöpfung

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”.)

~ deutsch + english ~
Alle Themen

Weitere Meldungen

+++ 1. Oktober 2014 +++

Obamas Pseudokrieg gegen den Terrorismus im Kreuzfeuer der Kritik vor der UNO und in Washington

Als der UN-Sicherheitsrat am 24.9. mit 15:0 Stimmen eine Resolution gegen den Terrorismus beschloß, war das keineswegs ein Sieg für US-Präsident Barack Obama, der die Sondersitzung geleitet hatte. Ins... [weiter]

+++ 1. Oktober 2014 +++

Argentinische Präsidentin konfrontiert Obama mit seiner falschen Anti-Terror-Politik

Nur zwei Plätze neben Obama sitzend wandte sich die argentinische Präsidentin Cristina Fernandez de Kirchner in ihrer Rede vor dem UN-Sicherheitsrat am 24.9. direkt an den US-Präsidenten und stellte d... [weiter]

+++ 1. Oktober 2014 +++

Obama’s Fake "War on Terror" under Attack at UN and at Home

While the United Nations Security Council passed a resolution against terrorism by a unanimous 15-0 vote on Sept. 24, the vote was by no means a victory for President Barack Obama, who chaired the spe... [weiter]

+++ 1. Oktober 2014 +++

Argentine President Confronts Obama on Flawed Anti-Terror Policy

Sitting only one chair away from President Obama during the UN Security Council ... [weiter]

+++ 1. Oktober 2014 +++

Indiens erfolgreiche Marsmission schreibt Geschichte

Indien ist das erste Land der Welt, dem schon beim ersten Versuch eine in jeder Hinsicht erfolgreiche Mission zum Mars gelang, und es ist das erste in Asien gestartete Raumfahrzeug, das am 23.9. siche... [weiter]

+++ 26. September 2014 +++

India "Creates History" with Successful Mars Mission

India's Mission control center for the Mars Orbiter Mission (MOM) received confirmation that the spacecraft was in Mars orbit at 16.30 Sept. 23, eliciting cheers from the scientists and engineers, and... [weiter]

+++ 26. September 2014 +++

Obama Comes Up with New Rationale for Bombing Syria

To bypass international law and the United States Constitution, the Obama Administration has concocted a new legal justification for the expansion into Syria of its war on the so-called Islamic State.... [weiter]

+++ 24. September 2014 +++

Die Welt braucht dringend eine neue inklusive Sicherheitsarchitektur!

Das Denken, das beim jüngsten Gipfeltreffen des chinesischen Präsidenten Xi Jinping und des indischen Premierministers Narendra Modi zum Ausdruck kam, steht im völligen Kontrast zum vorherrschenden ge... [weiter]

+++ 24. September 2014 +++

Außergewöhnliche Annäherung zwischen China und Indien

Der dreitägige Besuch des chinesischen Präsidenten Xi Jinping in Indien vom 17.-19.9. bedeutete einen qualitativen Durchbruch für die Beziehungen beider Staaten, mit weitreichenden Folgen für die ganz... [weiter]

+++ 24. September 2014 +++

Exceptional Rapprochement Between China and India

The three day visit of President Xi Jinping to India, from Sept. 17-19, consolidated a qualitative breakthrough in bilateral relations, with far-reaching consequences for the entire world. As both he ... [weiter]

+++ 24. September 2014 +++

Former Australian PM Fraser: Australia Needs Glass-Steagall

In Australia, the Financial System Inquiry (FSI), a panel of experts assessing the country's financial system, invited submissions from the public on the issues of ring-fencing, banking abuse, and the... [weiter]

+++ 24. September 2014 +++

Belgian Political Leaders Back Argentina's Fight against Vulture Funds

Agora Erasmus in Belgium, which is affiliated with the LaRouche movement worldwide, issued a [weiter]

+++ 24. September 2014 +++

Belgische Politiker unterstützen Argentiniens Kampf gegen die Geierfonds

Die mit der LaRouche-Bewegung verbundene Gruppe Agora Erasmus in Belgien verbreitet einen Solidaritätsaufruf für Argentinien im Kampf gegen die Geierfonds, der schon von führenden belgischen Politiker... [weiter]

+++ 17. September 2014 +++

Obamas Vorgehen gegen IS ist zum scheitern verurteilt

Die strategischen Gefahren haben sich in der vergangenen Woche verschärft, sowohl in Bezug auf die westliche „Anti-Terror-Strategie“ als auch in Bezug auf die EU/NATO-Osterweiterung.
Am 10.9. er... [weiter]

+++ 17. September 2014 +++

UN-Vollversammlung beschließt Resolution gegen Geierfonds

Die UN-Vollversammlung stimmte am 9.9. mit überwältigender Mehrheit für eine Resolution zum Schutz von Staaten vor Geierfonds. Die Resolution war auf Anregung Argentiniens von den G-77 Staaten plus Ch... [weiter]

+++ 17. September 2014 +++

China, Russia Setting up an Alternative to SWIFT Payments System

So-called financial experts and Treasury officials in the West have been boasting that the Russian economy will be totally crippled by the sanctions imposed by the West, in particular by cutting Russi... [weiter]

+++ 17. September 2014 +++

Patriotic Egyptians Eager to Invest in New Suez Canal

The decision by the Egyptian government to fund its New Suez Canal Project through the sale of investment certificates to Egyptian citizens has been a tremendous success. In the first six days, over ... [weiter]

+++ 17. September 2014 +++

Zepp-LaRouche: China's Vision, Contrary to the West's,
Is Not Based on Geopolitics

Helga Zepp-LaRouche's recent two week visit to China began with a conference Aug. 25 on the new Silk Road at the Lanzhou university, and ended with a major conference in Beijing Sept. 5, sponsored by ... [weiter]

+++ 12. September 2014 +++

ISIL: Obama's Impeachable Permanent War and Chaos Strategy

President Obama's much awaited address to the nation Sept. 10 on his “counterterrorism strategy” for dealing with the Islamic State and other jihadists in south-west Asia confirmed that he has no stra... [weiter]

+++ 12. September 2014 +++

UN General Assembly Condemns Vulture Fund Assaults on Nations

On Sept. 9, the United Nations General Assembly overwhelmingly supported a convention to protect nations from predatory funds. The resolution, proposed by Argentina and backed by the Group of 77+China... [weiter]

+++ 12. September 2014 +++

Zepp-LaRouche: Fight ISI Through Economic Development

In one of her many interviews with media in China in the first week in September when she was travelling in China, Schiller Institute founder Helga Zepp-LaRouche was asked the crucial question: How do... [weiter]

Weiter zurückliegende Meldungen