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Monday, July 27, 2009

ObamaCare's Prescription for Death

The big lie of those advocating socialized medicine in America is that government mandate can give everyone the health care they need. The truth is that every system of medicine shortchanges some to the benefit of others. The only difference lies in how many options those who are shortchanged have to get access to health care anyway.

The more a health care system is centralized, the less options there are for those who are shortchanged by it. It is why Americans who can't afford to pay for surgery can look to charities, surgeons willing to do procedures pro-bono, and various fundraising mechanisms. By contrast Canadians have to travel to the United States or look into one of a number of illegal clinics. In a free market health care system, the main barrier is financial, and that can be overcome far more easily than in the socialized system where lack of resources and centralized planning combines to close off all legal options.

That is why ObamaCare would not serve to expand American's access to health care, but rather close it down. The big lie of socialism is freedom from scarcity, but there is no escape from resource shortages. Instead socialism insures greater resource shortages than a free market economy, because it is woefully inefficient, inflexible and unrewarding. And those resource shortages are then passed on to the average citizen in ways far more unjust and restrictive than in any free market system.

While socialism insists on promising an infinite amount of pies in the sky, in the real world there is still only one pie. Where the free market uses trading strategies between consumers and businesses to maximize access to the pie, socialism locks the pie up in Al Gore's strongbox and creates a bureaucracy to parcel out access to it. By the time the pie has gone stale and everyone has figured out there's no more pie left, the system either breaks down or becomes nakedly totalitarian.

The question therefore is who will lose out under socialized medicine. Since socialized medicine is premised not on profitability, resource shortages become a much more pressing problem. That means that a socialized system must either limit access to everyone, or selectively limit access to certain groups of people. Or both.

The downside of limiting access to everyone across the board is that it insures that everyone will be unhappy. And it also cheats out government bureaucrats of the one thing they love most, playing god, and deciding who lives and who dies. Unlike private health care systems, socialized medicine exists for the society as a whole. As a socialized tool, it is subject to the mandate of social improvement. This opens the door to letting ethicists, read eugenicists, recommend how to best utilize existing health care resources. Which is a fancy way of saying, deciding who lives and who dies.

The elderly and the disabled who benefit most from a private health care system because it allows them to use their resources to obtain medical care, are the first on the butcher's block under socialized medicine. So are children with Down's Syndrome whose parents in a free market system can obtain health care for them, and all the other sort of people who don't pass muster as having a bright future of productive citizenship ahead of them. Or in the Third Reich's distinctive phrasing, "Life Unworthy of Life."

And that is at the heart of the difference between socialized medicine and free market health care. In the free market no one gets to class an entire category of people as "Life Unworthy of Life". Under socialized medicine, the actual classifications may be disguised in more politically correct labels and categories, such as Quality of Life, but they all mean the same thing in the end. Some people must die, so that others may live.

Dr. Ezekiel Emanuel, the brother of Rahm Emanuel and Health Policy Adviser at the Office of Management, provides a preview of how such a system will get started...

Such an approach accepts a two-tiered health system-some citizens will receive only basic services while others will receive both basic and some discretionary health services... Substantively, it suggests services that promote the continuation of the polity-those that ensure healthy future generations, ensure development of practical reasoning skills, and ensure full and active participation by citizens in public deliberations-are to be socially guaranteed as basic. Conversely, 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.


Obviously. How could anyone disagree with rationing health care by allocating it based on creating people with reasoning skills who can fully and actively participate in the future of the Reich? Dr. Ezekiel Emanuel probably didn't even have to work too hard to translate his reasoning from the original German.

Or as Dr. Hermann Pfannmüller, who would later stand trial at Nuremberg for his Starvation Hospitals for those he deemed unfit, put it,

"The idea is unbearable to me that the best, the flower of our youth must lose its life at the front in order that feebleminded and irresponsible asocial elements can have a secure existence in the asylum."


The idea is essentially the same. Why should the weak, the sick and the degenerates receive treatment at the expense of the healthy?

Here's a quick pop quiz. See if you can guess whether the next paragraph comes from Dr. Pfannmüller or Dr. Ezekiel Emanuel?

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.


Dr. Ezekiel Emanuel writing in the Lancet this time. It could just as easily have been Dr. Pfannmüller of the Starvation Hospitals who put it much more colorfully;

These creatures (the children) naturally represent for me as a National Socialist only a burden for the healthy body of our Volk. We do not kill with poison, injections, etc.; then the foreign press and certain gentlemen in Switzerland would only have new inflammatory material.. No, our method is much simpler and more natural, as you see. With these words, he pulled, with the help of a … nurse, a child from its little bed. While he then exhibited the child like a dead rabbit, he asserted with a knowing expression and a cynical grin: For this one it will take two to three more days. The picture of this fat, grinning man, in his fleshy hand the whimpering skeleton, surrounded by other starving children, is still vivid in my mind.


But here's another resource allocation quote to try your wits on. Is it Dr. Ezekiel Emanuel or Dr. Pfannmüller?

social value allocation prioritises specific individuals to enable them to promote other important values, or rewards them for having promoted these values. In view of the multiplicity of reasonable values in society and in view of what is at stake, social value allocation must not legislate socially conventional, mainstream values.


Dr. Ezekiel Emanuel naturally. The tipoff is his concern that a system of socialized health care eugenics not unduly favor people who represent mainstream values. Else where will the Obamas of tomorrow come from?

But here's another little preview of the moral calculus behind ObamaCare

Allocators must also avoid directing interventions earmarked for health needs to those not relevant to the health problem at hand, which covertly exacerbates
scarcity. 8,49 For instance, funeral directors might be essential to preserving health in an influenza pandemic, but not during a shortage of intensive-care beds.

For instance, former organ donors seem to deserve reciprocity since they make a
serious sacrifice and since there is no surplus of organ donors. By contrast, laboratory staff who serve as vaccine production workers do not incur serious risk
nor are they irreplaceable, so reciprocity seems less appropriate for them.


Ah, but somehow I suspect funeral directors will actually be quite vital under ObamaCare. Or perhaps they'll simply dispense with the carbon footprint of energy inefficient funerals and just shove them into the ovens. If they can find any ovens that are "green" enough.

It is of course safe to say that Dr. Ezekiel Emanuel will be considered most "essential" to preserving health under this system.

But here's another quote for the pop quiz.

Making a well-off person slightly better off rather than slightly improving a worse-off person’s life would be unjust; likewise, why give an extra year to a person who has lived for many when it could be given to someone who would otherwise die having had few?


Another deep thought from Dr. Ezekiel Emanuel at the Lancet on who should live and who should die. The Lancet you will remember served as a source for the vastly inflated Iraq civilian deaths that proved to be blatantly false. But that was okay since the Lancet only lied because they cared so much about human life. It is really wonderful how much liberals care about human life. And about apportioning that life to those humans they feel are worthy of life.

But here's one last quote challenge;

The complete lives system assumes that, although life-years are equally valuable to all, justice requires the fair distribution of them... 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.


And if the doctors can't... well it's no great loss anyway. And the good people like Dr. Ezekiel Emanuel who will be pulling down six figure salaries to provide "ethical guidance" will be doing gangbusters business ethically guiding the new ObamaCare Eugenics (TM).

Dr. Ezekiel Emanuel's own article admits, socialized medicine will not usher in health care for everyone. It will simply centralize resource allocation in the hands of people like Dr. Ezekiel Emanuel who will decide who gets or doesn't get treatment from a shrinking pool of available health care coverage... based on their own social values.

The premise that health care should be doled out to those capable of developing reasoning skills and active participation in the political system, can be easily used to allocate medical treatment based on progressive political views... which in the liberal lexicon is identical with "reasoning skills" and "active political participation".

Furthermore if health care is allocated based on the overall social goal of political participation by the next generation, affirmative action and diversity will inevitably factor into the decision. By linking civic participation with health care allocation, Dr. Ezekiel Emanuel has made an argument for rationing health care in order to promote progressive politics and racial diversity. This of course would bring ObamaCare full circle to merge with Nazi eugenics in a horrid prescription of death.

19 comments:

Keli Ata said...

Great albeit very disturbing article. No doubt Obama and Rahm et al are delving into eugenics and adopting Nazi practices right before our eyes.

As I wrote in a previous comment there are already health insurance options for everyone in the US from the employed with company insurance, military, poor and working poor.

Anonymous said...

The next step is to eliminate social undesirables & the less productive members of society.
Troublesome minorities, come next, & of necessity, political opponants.
Sounds like a plan.

Lemon said...

Eugemcs was the starting point of Planned Parenthood. And murder in the form of abortions goes on daily as a form of vicious birth control.
This is just another black mark on humanity.

A Jew With A View said...

But surely even with a nationalised healthcare system, you'd end up with the situation we have here in Britain?

In other words: a free national health system, but with many people taking out private health care. It's vital, because certainly in this country, the national healthcare, while at times amazing, is often abysmal.


Or is the plan that there would literally be *no* option for those who wanted to buy private health care plans...?

A Jew With A View said...

- have just read the article properly as opposed to rushing. Some sinister developments indeed...

Sultan Knish said...

Effectively ObamaCare is meant to destroy private insurance in a variety of ways

http://hotair.com/archives/2009/07/16/does-obamacare-outlaw-private-insurance/

http://hotair.com/greenroom/archives/2009/07/16/obamacare-the-mask-is-off/

Lemon said...

There is nothing FREE about nationalized or socialized medicine. Very high taxes pay for it.
Now you not only pay for your own health care but everyone else's as well.

As with all things Obama, it will put millions in the insurance business out of work and increase unemployment, increase taxes to incredible heights and as in Europe and Canada now there will be waiting lists for who gets care and who doesnt get care right away.
Awful.
The US health care is the finest in the world and no one..NO ONE can be turned away despite the made up stories they love to bandy around.

Tovah said...

You wrote this brilliantly. I am more horrified than I was already.

Keli Ata said...

Right off the bat I can see clashes between ObamaCare and the Catholic Church over birth control and abortion.

Also even though Medicaid is state/federally funded most physicians in private practice don't accept Medicaid. Will they be forced to accept anyone on ObamaCare? If so, will they be forced to provide services the government covers such as abortion and birth control? Or down the road such ugly practices as euthanasia for the elderly and disabled and infanticide for pre-term infants.

Neonatal intensive care is extremely expensive. Even more than nursing home care.

And a $500 abortion is cheaper than $3,000 for prenatal care. ObamaCare will initially hit at the extremes of life--pre-born, newborns and the elderly.

Keli Ata said...

Just a little note on prescription coverage--Wegmans Pharmacy provides free antibiotics (you still need a prescription) and 30-day supplies of other medications, including diabetes drugs for only $4 for the uninsured.

Other pharmacies are doing the same thing.

There are plenty of options out there. No one is truly without health care in this country.

Sultan Knish said...

Wal-Mart is also getting into the cheap drugs game.

Sultan Knish said...

Speaking of the 'kill the old' crowd

http://news.yahoo.com/s/hsn/20090728/hl_hsn/saveswinefludrugsforyoungerpatientsstudyurges

Lemon said...

There will be no clashes with the Catholic church. There are none now.
Pelosi is for abortion, is she excommunicated? No.
Is Kennedy and the rest of the Catholic legislators of America who defy the church on everything?
No.
So the Church is hypocritical and doesn't care one iota about abortion.
It's all talk.

A Jew With a View said...

Cheers for those links. I guess Obama's healthcare mission is like his middle east mission - provides great soundbites and makes it look like he's working for the common good, but in reality, will create more problems than it resolves.


http://www.familysecuritymatters.org/publications/id.3870/pub_detail.asp

Sultan Knish said...

pretty much

Anonymous said...

I remember getting up to leave the classroom during the opening of a lecture about Margeret Sanger, my instructor asked why,I explained I know all I need to know about eugenics and it's legacy. Distorted history in a nursing classroom is offensive. There are very few who know history or have the courage to stand for thier convictions. I have taken care of many of the brave souls who fought for this country, to place a value on theirs or anyone else's (aborted)is right out of Evil's playbook. The Catholic church, please, an entity devoid of spirituality will have little influence on this agenda. There are those that listen to "Radio Holy Spirit,brought to you by GOD", is what I call it, that can discern all this madness. Prayer is the only avenue to awaken the American people to what is at stake, in an effort to remove the blindness and deception.

Thanks for the forum.
Greg RN

Keli Ata said...

At one time the abortion/birth control were the hot topics and issues of the Catholic Church but true, it is all lip service now--we've seen Obama give speeches at Catholic universities--invited to give speeches. And yes, Pelosi hasn't been excommunicated.

The church still has the Hitler-youth pope who hasn't excommunicated her or Kennedy.

But for individual staunch Catholics there remains ethical problems such as the pharmacist that refuses to fill prescriptions for birth control or the nurse who refuses to assist in an abortion. The less obvious cases will play out in the end of life care.

Hopefully we won't see a resurrgence of government coerced sterilizations. Most MDs are still pretty cautious about doing tubal ligations on young, unmarried women.

Greg--wow. Incredible that they'd try to teach nursing students about Sanger. In my school all we learned about was Florence Nightingale and her book "On Nursing" and the, (yawn), nursing theorists.

BSN programs can bore you to death with these nursing theorists.

Julie said...

This is an outstanding piece--informative, heartbreaking, frightening, enraging.

It's hard to believe so-called human beings can be so disgusting.

Why should we worry about starving children in Darfur, Rwanda, etc.? Herr Doktor assures us there's nothing unethical about purposely starving children to death. His present-day incarnation has no problem whatsoever with killing the innocent if it suits his purpose...whether by neglect (refusing proper treatment for a serious condition) or actively--I'll spare us the examples.

I do have one quibble: "shortchanged" I think is a bad word, because it really means "cheated." But the whole point of truly free-market health-care is that no one is cheated, i.e., unfairly done out of something that is rightfully his.

Excellent piece, SultanKnish...thank you.

Sultan Knish said...

human beings in general are only as moral as their society, and our society has been heading steadily downhill for a while now

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