Showing posts with label rationed care. Show all posts
Showing posts with label rationed care. Show all posts

Thursday, August 20, 2009

Illegal aliens will be treated at times even though rationing is likely for dying Americans

Health care services may be scarce, and therefore expensive, but they're not so scarce or expensive that the United States should stop treating illegal aliens.

So says President Barack Obama.

This raises the possibility, indeed the probability, that at some point in the future an American citizen who is a combat veteran, retired after a 40-year career as a police officer, will be told that he can not receive life-prolonging treatment while a lawbreaker who is not a citizen can show up at a hospital emergency room and get treatment.

One of the inescapable implications of the various Democrat health care plans rattling around Washington is that health care will be rationed, at least for those who are in the final stage of life.

Obama describes treatment of illegal aliens, in certain circumstances, as "a basic standard of decency." One of those situations, he said, would be a child who shows up at an emergency room and is found to be suffering from tuberculosis or is in another "death situation."

It's preferable to treat them, Obama said, than to send them home and risk having them play with other children at school.

Whoring for hispanic votes - it's on top of the agendas of both political parties, and will be until American voters decide to take their country back.

Would crippled FDR have passed worthiness test?

"Would Ezekiel Emanuel want to give medical coverage to a 48 year old pre-presidential Franklin Delano Roosevelt in a wheelchair with polio? Keep in mind he was also famously a smoker who used a cigarette holder.

Pres. Roosevelt used to go for hydrotherapy treatments to Warm Springs, Georgia (he died there in spring of 1945) and for anyone familiar with "Health Czar" Emanuel's philosophies, it is realistic to assume that ObamaCare would never pay for hydrotherapy treatments of a less politically connected person than FDR who suffered from the same ailments."

Wednesday, August 12, 2009

If government gains a foothold in health care, mission creep could put more and more at risk

Two words, strangely missing from the health care debate, deserve a place.

The words are "mission creep."

Few enactments escape the reach of mission creep, the tendency of small, modestly priced and limited government programs to grow, over time, into expensive, wasteful, far-raching and instrusive programs that bust budgets snd rain unintended consequences on citizen-victims.

The Korean War, the U.S. military adventure in Somalia, and the Afghanistan and Iraq wars are leading military examples of mission creep. But the phenomenon has spread throughout the universe in which congressional legislation plays a role.

The Community Reinvestment Act, enacted during the Carter Administration in the 1970s, was a response to a court order designed to make more low income people eligible for home ownership. Over time, the CRA led to prolonged low-interest-rate schemes by the Federal Reserve and the creation of Freddie Mac and Fannie Mae. In the hands of Democrat social engineers, Freddie and Fannie stood traditional economics on its head by destroying the gatekeeper function of local lenders.

Before Freddie and Fannie came on the scene, local lenders had to scrutinize the viability of borrowers to safeguard their own institutions. With Freddie and Fannie on hand, those lenders no longer faced any risk. They could immediately offload new mortgages to Freddie and Fannie.

The new system not only eliminated local risk, but encouraged recklessness because the more mortgages the lender wrote, the more money the lender would make.

Meanwhile, Freddie and Fannie sold the mortgages to investment banks, which bundled and sold them to big investors throughout the world.

When the mortgage defaults began to swell, the financial industry entered its meltdown phase, eventually taking down the economy.

Now, the Obama administration is campaigning for what seems to be a simple tightening up of the health care system. But his past statements indicate that he favors an eventual single-payer provider of health insurance.

More ominously, Obama's director of the Office of Management and Budget, has as an advisor Ezekiel Emanuel, a brother of White House Chief of Staff Rahm Emanuel.

Dr. Emanuel is a fellow at the Hastings Center, a bioethics research center, that has published articles and books on the patient's right to die, as well as promoted "Assisted Dying" policy as a component of healthcare reform.

Dr. Emanuel's June 2008 article in the Journal of the American Medical Association criticized the Hippocratic Oath as an unwelcome "imperative [for physicians] to do everything for the patient regardless of cost or effect on others."

In the article, titled "The Perfect Storm of Overutilization," he instead encourages a "move toward more socially sustainable, cost-effective care."

This philosophy of "socially sustainable care" for older Americans is reflected in nine pages of the bill devoted to a description of a new Medicare benefit: 'Advance Care Planning Consultation.'"

In other words, the fox already is inside the chicken shack.

As of now, the government has no say in how doctors practice medicine. That matter is up to patients, doctors and insurers.

Under any likely health care reform, however, that is likely to change. Once government seizes some control of the health care system, mission creep would come into play.

Bit by bit, it is reasonable to assume that the worst expectations of government medicine - rationed treatment, evaluations of patient worthiness, etc. - would become standard features of American health care.

Bear that in mind as Obama and his social engineers emphasize the limited scope of their project.