Obama's Health Rationer-in-Chief....up close and in person

Discussion in 'Healthcare/Insurance/Govt Healthcare' started by Contumacious, Aug 28, 2009.

  1. Contumacious
    Offline

    Contumacious Radical Freedom

    Joined:
    Aug 16, 2009
    Messages:
    17,072
    Thanks Received:
    1,469
    Trophy Points:
    205
    Location:
    Adjuntas, PR , USA
    Ratings:
    +3,851
    Obama's Health Rationer-in-Chief

    by Betsy McCaughey




    Dr. Ezekiel Emanuel, health adviser to President Barack Obama, is under scrutiny. As a bioethicist, he has written extensively about who should get medical care, who should decide, and whose life is worth saving. Dr. Emanuel is part of a school of thought that redefines a physician’s duty, insisting that it includes working for the greater good of society instead of focusing only on a patient’s needs. Many physicians find that view dangerous, and most Americans are likely to agree.
     
    • Thank You! Thank You! x 1
  2. Contumacious
    Offline

    Contumacious Radical Freedom

    Joined:
    Aug 16, 2009
    Messages:
    17,072
    Thanks Received:
    1,469
    Trophy Points:
    205
    Location:
    Adjuntas, PR , USA
    Ratings:
    +3,851
    The health bills being pushed through Congress put important decisions in the hands of presidential appointees like Dr. Emanuel. They will decide what insurance plans cover, how much leeway your doctor will have, and what seniors get under Medicare. Dr. Emanuel, brother of White House Chief of Staff Rahm Emanuel, has already been appointed to two key positions: health-policy adviser at the Office of Management and Budget and a member of the Federal Council on Comparative Effectiveness Research. He clearly will play a role guiding the White House's health initiative.
     
  3. midcan5
    Offline

    midcan5 liberal / progressive

    Joined:
    Jun 4, 2007
    Messages:
    10,772
    Thanks Received:
    2,361
    Trophy Points:
    245
    Location:
    Philly, PA
    Ratings:
    +3,281
  4. Contumacious
    Offline

    Contumacious Radical Freedom

    Joined:
    Aug 16, 2009
    Messages:
    17,072
    Thanks Received:
    1,469
    Trophy Points:
    205
    Location:
    Adjuntas, PR , USA
    Ratings:
    +3,851
    Dr. Emanuel says that health reform will not be pain free, and that the usual recommendations for cutting medical spending (often urged by the president) are mere window dressing. As he wrote in the Feb. 27, 2008, issue of the Journal of the American Medical Association (JAMA): "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."
     
  5. jillian
    Offline

    jillian Princess Supporting Member

    Joined:
    Apr 4, 2006
    Messages:
    69,550
    Thanks Received:
    13,012
    Trophy Points:
    2,220
    Location:
    The Other Side of Paradise
    Ratings:
    +22,427
    do you idiots do multiple threads on every thing that crosses your mind?

    as was already pointed out on the last thread talking about Dr Emanuel... It's Betsy McCaughy talking about what he "said".

    Given that she either doesn't understand the health care bill or is intentionally lying about it's effect, I wouldn't put much stock in anything she says if i were you.

    just saying....
     
  6. Contumacious
    Offline

    Contumacious Radical Freedom

    Joined:
    Aug 16, 2009
    Messages:
    17,072
    Thanks Received:
    1,469
    Trophy Points:
    205
    Location:
    Adjuntas, PR , USA
    Ratings:
    +3,851


    True reform, he argues, must include redefining doctors' ethical obligations. In the June 18, 2008, issue of JAMA, Dr. Emanuel blames the Hippocratic Oath for the "overuse" of medical care: "Medical school education and post graduate education emphasize thoroughness," he writes. "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."

    In numerous writings, Dr. Emanuel chastises physicians for thinking only about their own patient's needs. He describes it as an intractable problem: "Patients were to receive whatever services they needed, regardless of its cost. Reasoning based on cost has been strenuously resisted; it violated the Hippocratic Oath, was associated with rationing, and derided as putting a price on life. . . . Indeed, many physicians were willing to lie to get patients what they needed from insurance companies that were trying to hold down costs." (JAMA, May 16, 2007).
     
    • Thank You! Thank You! x 1
  7. Political Junky
    Online

    Political Junky Gold Member

    Joined:
    May 27, 2009
    Messages:
    19,541
    Thanks Received:
    2,948
    Trophy Points:
    260
    Ratings:
    +5,533
    McCaughy was exposed by Jon Stewart before the world as a liar. She was forced to retire from that group she was lying for.
     
  8. Contumacious
    Offline

    Contumacious Radical Freedom

    Joined:
    Aug 16, 2009
    Messages:
    17,072
    Thanks Received:
    1,469
    Trophy Points:
    205
    Location:
    Adjuntas, PR , USA
    Ratings:
    +3,851
    "Of course, patients hope their doctors will have that single-minded devotion. But Dr. Emanuel believes doctors should serve two masters, the patient and society, and that medical students should be trained "to provide socially sustainable, cost-effective care." One sign of progress he sees: "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." (JAMA, June 18, 2008).

    "In the next decade every country will face very hard choices about how to allocate scarce medical resources. There is no consensus about what substantive principles should be used to establish priorities for allocations," he wrote in the New England Journal of Medicine, Sept. 19, 2002. Yet Dr. Emanuel writes at length about who should set the rules, who should get care, and who should be at the back of the line. "
     
    • Thank You! Thank You! x 2
  9. Contumacious
    Offline

    Contumacious Radical Freedom

    Joined:
    Aug 16, 2009
    Messages:
    17,072
    Thanks Received:
    1,469
    Trophy Points:
    205
    Location:
    Adjuntas, PR , USA
    Ratings:
    +3,851
    You can't avoid these questions," Dr. Emanuel said in an Aug. 16 Washington Post interview. "We had a big controversy in the United States when there was a limited number of dialysis machines. In Seattle, they appointed what they called a 'God committee' to choose who should get it, and that committee was eventually abandoned. Society ended up paying the whole bill for dialysis instead of having people make those decisions."
     
  10. Contumacious
    Offline

    Contumacious Radical Freedom

    Joined:
    Aug 16, 2009
    Messages:
    17,072
    Thanks Received:
    1,469
    Trophy Points:
    205
    Location:
    Adjuntas, PR , USA
    Ratings:
    +3,851
    Dr. Emanuel argues that to make such decisions, the focus cannot be only on the worth of the individual. He proposes adding the communitarian perspective to ensure that medical resources will be allocated in a way that keeps society going: "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. Covering 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." (Hastings Center Report, November-December, 1996)
     

Share This Page