by greybeard
I don't know if this guys middle name should be Eugenics or Mengeles.
Just who is Dr. Ezekiel Emanuel, Obama's Health Policy Czar, and what kind of health care service does he have planned for you and I, our children, and for the uninsured opposition who stand with their signs demanding a public government option?
So, What's your Life Worth?
...and how the heck do they plan making free health care affordable?
Well, Ezekiel Emanuel, brother of obamas youth civilian army mastermind, Rahm "the fish" Emanuel, has written much literature on how to solve the costs of health care. One such piece is what he calls "The Complete lives System"
This system incorporates five principles:
Youngest-first, prognosis, save the most lives, lottery, and instrumental value.
Principles for allocation of scarce medical interventions.
As such, it prioritizes younger people who have not yet lived a complete life and will be unlikely to do so without aid. Many thinkers have accepted complete lives as the appropriate focus of distributive justice: “individual human lives, rather than individual experiences, [are] the units over which any distributive principle should operate.”1,75,76 Although there are important differences between these thinkers, they share a core commitment to consider entire lives rather than events or episodes, which is also the defining feature of the complete lives system.
Consideration of the importance of complete lives also supports modifying the youngest-first principle by prioritizing adolescents and young adults over infants.
Adolescents have received substantial education and parental care, investments that will be wasted without a complete life. Infants, by contrast, have not yet received these investments. Similarly, adolescence brings with it a developed personality capable of forming and valuing long-term plans whose fulfillment requires a complete life.77 As the legal philosopher Ronald Dworkin argues, “It is terrible when an infant dies, but worse, most people think, when a three-year-old child dies and worse still when an adolescent does”;78 this argument is supported by empirical surveys.41,79
Importantly, the prioritization of adolescents and young adults considers the social and personal investment that people are morally entitled to have received at a particular age, rather than accepting the results of an unjust status quo.
Consequently, poor adolescents should be treated the same as wealthy ones, even though they may have received less investment owing to social injustice.
The complete lives system also considers prognosis, since its aim is to achieve complete lives. A young person with a poor prognosis has had few life-years but lacks the potential to live a complete life.
Considering prognosis forestalls the concern that disproportionately large amounts of resources will be directed to young people with poor prognoses.42
When the worst-off can benefit only slightly while better-off people could benefit greatly, allocating to the better-off is often justifiable.1,30
Some small benefits, such as a few weeks of life, might also be intrinsically insignificant when compared with large benefits.8
Saving the most lives is also included in this system because enabling more people to live complete lives is better than enabling fewer.8,44
In a public health emergency, instrumental value could also be included to enable more people to live complete lives.
Lotteries could be used when making choices between roughly equal recipients, and also potentially to ensure that no individual—irrespective of age or prognosis—is seen as beyond saving.34,80
Thus, the complete lives system is complete in another way: it incorporates each morally relevant simple principle.
When implemented, the complete lives system 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 (figure).78
It therefore superficially resembles the proposal made by DALY advocates; however, the complete lives system justifies preference to younger people because of priority to the worst-off rather than instrumental value.
Additionally, the complete lives system assumes that, although life-years are equally valuable to all, justice requires the fair distribution of them. Conversely, DALY allocation treats life-years given to elderly or disabled people as objectively less valuable.
Finally, the complete lives system is least vulnerable to corruption.
Age can be established quickly and accurately from identity documents.
Prognosis allocation encourages physicians to improve patients’ health, unlike the perverse incentives to sicken patients or misrepresent health that the sickest-first allocation creates.58,59......................
Unlike allocation by sex or race, allocation by age is not invidious discrimination; every person lives through different life stages rather than being a single age. Even if 25-year-olds receive priority over 65-year-olds, everyone who is 65 years now was previously 25 years."
-Lancet, Vol 373 June 31, 2009
"Strict youngest-first allocation directs scarce resources predominantly to infants. This approach seems incorrect. The death of a 20-year-old woman is intuitively worse than that of a 2-month-old girl, even though the baby has had less life. The 20-year-old has a much more developed personality than the infant, and has drawn upon the investment of others to begin as-yet-unfulfilled projects....
-Lancet, Vol 373, January 31, 2009 425,
more Ezekiel Emanuel quotes:
"Vague promises of savings from cutting waste, enhancing prevention and wellness, installing electronic medical records and improving quality of care are merely 'lipstick' cost control, more for show and public relations than for true change."
"Every favor to a constituency should be linked to support for the health-care reform agenda," he wrote last Nov. 16 in the Health Care Watch Blog. "If the automakers want a bailout, then they and their suppliers have to agree to support and lobby for the administration's health-reform effort."
Savings, Emanuel writes, will require changing how doctors think about their patients: Doctors take the Hippocratic Oath too seriously, "as an imperative to do everything for the patient regardless of the cost or effects on others" (Journal of the American Medical Association, June 18, 2008).
my notes:
Ezekiel Emanuel-Obama Depopulation Policy Exposed! Red Alert!
Disband this Death Panel!
IMO the implementation from policy makers like this Tsar, of Obama's Government Health Care Plan, is obviously nothing more than a savage "Savings Plan" constructed for massive NON-care, and discriminatory murder, upon those who actually need any medical care.
Passing this Plan is stacking the Emanuel scarcity of service liberal deck and providing a means for the capitalist in us to be assimulated into the socialist ends.
Passing this plan is a designed step to forced 'failure' of the insurance companies.
It taxes, and red tapes, them right out of business when they raise your premieums to cover the forced government costs.
Then the socialist plan steps in, across all state lines btw, to offer a lower cost plan - and the natural instinct in us all is to save costs.
Under the 'mandatory
Passing this plan is Using capitalism as it's own demise to a Marxist end result.
Scarcity of medical services for the uninsured is a scare tactic farce - the alleged 47 million uninsured are ALREADY using the health care system and services - - paying for it, or not.
What is more likely a derivative of any medical service scarcity is the plan not addressing skyrocketing mal practice insurance costs which drive service professionals to shut down.
And then there is Obama's stance to Revoke the Conscience Protection Clause which would then require doctors and nurses, no matter their religious or pro-life views or objections, to perform abortions.
Perform or leave the medical profession.
[update: 45% of doctors would quit]
The scarcity of doctors is not primarily in the influx of 47 million new insured people into the system - these people are already HERE and USING the health care system - the scarcity of health service will come because 45% of doctors, who's values system relys on the Hippocratic Oath, will quit if this health care plan passes.
Scarcity of Funds for the colossal cost to cover socialized care is what must be addressed by the Obama regulators to somehow -somewhere make costs affordable since none of the present medical COSTS are coming down.
Since they don't address reducing costs, other than telling us they won't pay for tests we may need, or seeing specialists we may need, they instead reduce the "chances" that unhealthy liabilities will cost them by denial of service based on what??
I remind you: When the worst-off can benefit only slightly while better-off people could benefit greatly, allocating to the better-off is often justifiable.
Redistribution of medical care regulated and prioritized for the fit worthy class producers, screened by an Eugenics Policy Jury, judging the worth and cost of the youngest and the old. A culling of the sick unproductive population.
Your medical condition, and it's cost, will be Red Flagged (no pun) by some solitaire playin' bureaucratic clerk, and monitored by this "Comparative Effectiveness Research Commission" (in which Emanuel is a Board Member) as too your acceptable coverage, or denial, by ... Age, that can be established quickly and accurately from identity documents... and not by your doctor's ability, or oath, to provide you care.
This Comparative Effectiveness Research Prioritization Commission, which is ALREADY IN the loaded and Passed Stimulus Bill, is a 15 member PANEL (odd) Already staffed and funded to the tune of 1.1 billion - Health care REFORM advisers are obscurely waiting for a Health care Bill to get passed so it can begin this leftist benefits and burdens process of amoral 'distributive justice'.
So don't try to tell me there isn't a death panel. Call 'it' what you will. What do you think these red bean countin' societal-social-experimenters will be comparing...?
Prioritization of savings, another word for effectiveness, by age, youngest to the oldest, is only a tip of this Commissions health care "changes" touched on here.
Say goodbye to 'individual' patient care too. You're to be a specimen of the collective graph. This alone will stifle medical advancements as paid treatments are granted on the basis of group analysis on effectiveness of past treatments as a whole. If your condition lies anywhere outside their graph you'll be like the lady in Oregon's Socialized health care system, Barbra Wagner, who was refused the more expensive medical treatment of medicine that would give her more time to live - and was told instead that they would pay for 50 dollars in pills that would euthanize her in a humane way...
Take these and - uh, hum, have someone else call me in the morning.
Isn't socialized medicine beautiful?
In his 2008 book, Healthcare, Guaranteed, (in which he calls for phasing out Medicare, Medicaid, and the children's health program) Emanuel calls for **an independent National Health Board to oversee and cut healthcare in America, and to approve all payments and procedures. “To reduce political interference and allow the necessary tough choices to be made,” Emanuel says, this board must be insulated from “pressure” by elected officials such as Congress, **and must get funding independently of Congressional appropriations. The board’s life-or-death decisions would proceed without possibility of objection from victims or voters.
Now I want you to look at what Congress Has passed - The Comparative Effectiveness Research Act was introduced by Senators Max Baucus (D-MT) and Kent Conrad (D-ND) in 2008, and its essence is certain to be incorporated into any health care reform measure introduced by the Senate Finance Committee (Baucus chairs the committee, and Conrad is one of its most senior members). It would establish **a new nonprofit corporation outside of government as the locus of CER, **financed through a contribution from Medicare of $1 per beneficiary, with annual increases tied to medical inflation; private plans would be required to contribute $1 per covered life beginning in 2013.
So- the architect of health Care's final solution already has his board lying in wait to adjudicate - it's independent ghost fund receiver Corp is established and we all get to involuntarily pay for our own health care demise.
What part of selective 'tough choice' distributed non-recoursed eugenics tyranny did I skip? - insulated from “pressure” by elected officials such as Congress?
Do you people with your Obamacare signs have any idea at all what you are supporting?
On a much much less serious note - I had one lady (a friend) ask me why I was against FREE health care...
FREE?
..........Oh, boy- she best hope Dr. Mengele's Death Panel evaluates liberal zombies on a brain curve.
Dear - this one's for you.
WARNING!: Free-Mandatory Government Health care is Hazardous to your Health & Your LIFE.
I know- i know- sigh - I'll probably be sent before the Re-education Czar's panel with orders to get well soon ...
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