Wednesday, August 26, 2009
Living document
Kennedy
Thursday, August 20, 2009
Yeah, we are scared
No blogs, no pols (aside from one quote from Palin).
Tuesday, August 11, 2009
Who decides? And when?
A debate on long-term cost control and end-of-life care--especially an emotional and acrimonious debate--is a highly useful debate to have. But it's not a useful debate to have right now. Right now it is killing Obama's universal care plans. ... And it wasn't a debate we had to have right now. It's a debate Obama has brought on himself by framing health care as an attempt to "bend the curve" of long term costs decades from now. He could have just said "Here's how I would guarantee health security for everyone. And here's how we're going to pay for it for the next ten years."
Kaus is one of the most insightful writers around. But here it's backwards.
We should have the discussion about cost control and end-of-life care first. How can we design change the system if we don't know what it will cover?
That's like saying: "Let's not worry about our destination. Let's just plan everything else about the trip."
Decide the destination first. Then decide the trip.
And Obama does bring up a good point. Why do we pay so much on the last weeks, when that neither prolongs nor betters life?
Most people don't want to be tormented at the very end of their lives. But they don't want a bureaucrat to decide when that will be.
But until we decide that, we can't really reform the system.
Just because you're paranoid ...
Death panels are already here it seems, just as they have been for some time in Britain and Canada. The concept behind deciding who lives and who dies and how finite resources should be allocated was described by key Obama health care adviser Dr. Ezekiel Emanuel, brother to White House Chief of Staff Rahm Emanuel.
In his paper, "Principles for Allocation of Scarce Medical Interventions," he expounds on what he calls "The Complete Lives System" for allocating treatments and resources.
"When the worse-off can benefit only slightly while better-off people could benefit greatly," he says, "allocating to the better-off is often justifiable."
These are Dr. Emanuel's words, not Palin's. We're not making this up and neither is she. It is not hard to see this formula for rationing forcing children such as Trig and the elderly such as Barbara Morgan to take a number — a very high number.
Monday, August 10, 2009
White House for sale
But I'm appalled by the deal the White House has made with the pharmaceutical industry's lobbying arm to buy their support.