Saturday, August 1, 2009

Obama Medical Adviser on End-of-Life Care

Emanuel, Ezekiel

Let’s hope and pray that Obama Care will never come into existence, but if it does, pray that it will not resemble socialized medicine in Britain because if it does, we are royally screwed.

Read from Investor’s Business Daily, and pay particular attention to what Obama medical advisor Ezekiel Emanuel says about end-of-life care :

How House Bill Runs Over Grandma

Rationing: In the recesses of the House health care ‘reform’ bill is a provision for end-of-life counseling for seniors. Don't worry, granny, they're from the government and they're here to help.

At a town hall meeting at AARP headquarters in Washington, D.C., President Obama was asked by a woman from North Carolina if it was true ‘that everyone that's Medicare age will be visited and told they have to decide how they wish to die.’

At first, the president joked that not enough government workers existed to ask the elderly how they wanted to die. The idea, he said, was to encourage the use of living wills and that critics were misrepresenting the intent of the 'end of life' counseling provided for in the House bill. He did not say, 'No, they wouldn't be contacted.'

This administration, pledging to cut medical costs and for which 'cost-effectiveness' is a new mantra, knows that a quarter of Medicare spending is made in a patient's final year of life. Certainly the British were aware when they nationalized their medical system.

The controlling of medical costs in countries such as Britain through rationing, and the health consequences thereof are legendary. The stories of people dying on a waiting list or being denied altogether read like a horror movie script.

The U.K.'s National Institute for Health and Clinical Excellence (NICE) basically figures out who deserves treatment by using a cost-utility analysis based on the ‘quality adjusted life year.’

One year in perfect health gets you one point. Deductions are taken for blindness, for being in a wheelchair and so on.

The more points you have, the more your life is considered worth saving, and the likelier you are to get care.

People such as scientist Stephen Hawking wouldn't have a chance in the U.K., where the National Health Service would say the life of this brilliant man, because of his physical handicaps, is essentially worthless.

The British are praised for spending half as much per capita on medical care. How they do it is another matter. The NICE people say that Britain cannot afford to spend $20,000 to extend a life by six months. So if care will cost $1 more, you get to curl up in a corner and die.

In March, NICE ruled against the use of two drugs, Lapatinib and Sutent, that prolong the life of those with certain forms of breast and stomach cancer.

The British have succeeded in putting a price tag on human life, as we are about to.

Can't happen here, you say? ‘One troubling provision of the House bill,’ writes Betsy McCaughey in the New York Post, ‘compels seniors to submit to a counseling session every five years (and more often if they become sick or go into a nursing home) about alternatives for end-of-life care (House bill, Pages 425-430).’

One of the Obama administration's top medical care advisers is Oxford- and Harvard-educated bioethicist Ezekiel Emanuel. Yes, he's the brother of White House Chief of Staff Rahm Emanuel and has the ear of his brother and the president.

‘Calls for changing physician training and culture are perennial and usually ignored,’ he wrote last June in the Journal of the American Medical Association. ‘However, the progression in end-of-life care mentality from 'do everything' to more palliative care shows that change in physician norms and practices is possible.’

Emanuel sees a problem in the Hippocratic Oath doctors take to first do no harm, compelling them ‘as an imperative to do everything for the patient regardless of cost or effect on others,’ thereby avoiding the inevitable move toward ‘socially sustainable, cost-effective care.’

During the June 24 ABC infomercial on health care broadcast from the White House, Obama confessed that if ‘it's my family member, if it's my wife, if it's my children, if it's my grandmother, I always want them to get the very best care.’

Not, apparently, if it's your grandmother.”


What say you, Diogenes, about Ezekiel Emanuel's comment? Should we not be somewhat concerned about such a statement?

4 comments:

Diogenes said...

Quite frankly, I don't give a damn what Ezekiel Emanuel has to say. He's not calling any shots within the administration, and he's entitled to his opinion. I will admit that I'm not overly enthused about what he's apparently said, but I've also learned a HUGE lesson when it comes to reading stuff on your blog: there's less than a fifty-fifty chance that it's complete, accurate, and truthful if it's in something you've posted.

Nut I see you've injudiciously printed Betsy McCaughey's lies yet again. How many times are you going to do this, Ms. Moore? How many times are you going to lie to the good people who read your blog?

And how STUPID are your arguments? Since Obama didn't specifically say to that poor old scared woman "No, you will not be contacted" that somehow means that she WILL be contacted? he explained that the clause she was talking about had nothing to do with what the BOOGAH BOOGAH rightwingnuts were claiming. He calmly explained to her what it DID mean. But since he didn't specifically use the words your rightwingnut friends wanted to hear, that automatically means it's oging to happen: that goverment workers will be forcing their way into your home, every five years, to convince you to die.

The very idea is so incerdibly beyond the pale that it shouldn't even NEED a response. But, now, come to think of it, Obama didn't specifically say that the government wouldn't send vampires to your house to suck all the blood out of your body and damn you to an eternal existence as a monster. So I guess we ought to keep a wooden stake by the front door?

This would actually be quite funny, if it weren't for the fact that you maniacs are scaring good people while indulging your hallucinations. What you are others of your ilk are doing to our elderly is far worse than anything the healthcare reform proposals could imagine.

Debra Moore said...

Sorry, Diogenes, I happen to believe what Betsy McCaughey says. The British and Canadian healthcare systems are the role model for Obama Care.

Businesses are hurting financially. If Obama Care gets approved, many of these businesses will drop their employees' health coverage. Then we will be stuck with the govt. plan. I, for one, do not want a health plan like that in Canada or Britain.

Diogenes said...

Well, let's put it this way: if you believe in Betsy McCaughey, it's not because you value truth.

She says that the proposal MANDATES that a government worker will come to your house every five years to encourage euthanasia. That is not even remotely close to what the proposal says -- yet you say "I believe what Betsy McCaughey says". Why? How? Do you believe in the Tooth Fairy, too? because the good Fairy is about as real as McCaughey's claims.

And still we wait: point us to the portion of the proposal that says what McCaughey says it says. Just tell us the page number and the line number -- we'll do the rest.

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