Rationing health care
It is now clear that the plans being forwarded to “reform ” health care in the US involves rationing. How do I know this? Because the people the President assigned to create a new plan make no bones about it.
Ezekiel Emmanuel MD, Rahm Emmanuels brother, is Barack Obamas Special Advisor for Health Policy.
Principles for allocation of scarce medical interventions: The Lancet
This system incorporates five principles: youngest first, prognosis, save the most lives, lottery, and instrumental value. When implemented, the complete lives system produces a priority curve on which individuals aged between roughly 15 and 40 years get the most substantial chance, whereas the youngest and oldest people get chances that are attenuated 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.
They describe this as a better way for an unnamed bureaurocrat to determine who has the right to care in a rationed system than previous models; that the complete lives system is least vulnerable to corruption.
But the bottom line is that such a decision is being taken from the patient and the health care provider.
On a scale from 1 10 I wonder what my instrumental value is? Who’s friend do I have to be to move my base number up?
Instrumental value allocation prioritises specific individuals to enable or encourage future usefulness.
Yeah that’s what I thought. This bureaurocrat will decide my fate on my usefulness.
where a specific person is genuinely indispensable in promoting morally relevant principles, instrumental value allocation can be appropriate.
So whatever you do; make sure you are useful to the Obots. The above is MY plan. It is NOT Obama’s plan. Therefore, you can’t tell me that I can’t execute my plan. If MY plan doesn’t include nationalizing the hospitals, then don’t tell me it does.
You assume the government can’t do it as cheaply as the insurance industry does. I thought you said that conservatives don’t dream up numbers, but they use the real ones. Dude. Real numbers ain’t been had yet, so you’re dreaming. The numbers you ascribe to the situation above are totally made up. Your diatribe is FULL of assumptions and political clap trap. Are you sure you’re a conservative?
It’s MY plan, and I know how to run my plan. MY plan would work. It’s just simple arithmetic and THIS liberal can add.
Regarding my “assumptions”, they are based on the numbers provided by the Congressional Budget Office. People who DO KNOW the cost of insuring and providing care for people in the USA. If you have problems with those assumptions, take it up with the CBO. If you have reason to believe that those numbers are incorrect, provide it. Otherwise, just accept that there are others in the world with more information than you. I’m just one of many in that regard.
As far as “your plan” is concerned. You’re telling me that while everyone else on the board is talking about OBAMA’S health plan, you’ve been spending the past 70 posts putting forward something that NOBODY ELSE IN THE WORLD IS EVEN DISCUSSING as if it were “the plan”? You’re telling me that for that past 7 pages of your posts you have been completely off topic?
YOUR PLAN, whatever it is, is not the topic for discussion in this thread. Obama’s plan is. If you want to create another thread with YOUR HEALTH PLAN, go for it. If you are trying to give an alternative to what Obama is proposing, then identify it as such. But the topic of THIS string is the rationing that will take place under Obama’s plan. And now you tell me that I have been wasting my time debating Obama’s plan with you, while you were talking about something else entirely?
No wonder we were miscommunicating. I was talking apples, you were talking mashed potatoes.
Why can’t you stick to the topic at hand?
YOUR PLAN means nothing to me, and probably precious little to most Americans who are concerned with the direction of healthcare in the USA. YOUR PLAN is not the one Obama wants to implement. It’s OBAMA’s plan that’s up for debate in the national spotlight.
Again, you are free to put forward any ALTERNATIVE plan you want. But at least IDENTIFY IT as such so we don’t waste time when we SHOULD be debating the REAL topic at hand.
I apologize for my earlier comments. I have NO IDEA whether YOUR PLAN would work. I have no idea HOW your plan would work. I just know that OBAMA’S plan is going to fail, as it has everywhere else it’s been tried, and it’s going to cost the country between $3 trillion and $10 trillion over a 10 year period, creating the largest budget deficit in history and creating the largest national debt in history.
The President promised coach outlet allen tx that those who have their own coverage would be allowed to keep it and that is true according to the language in the passed bill. But that does not mean that we will continue to have “choice”.
“Except as provided in this paragraph, the individual health insurance issuer offering such coverage does not enroll any individual in such coverage if the first coach purse quotes effective date of coach purse for sale coverage is on or after the first day” of the year the legislation becomes law. Page 16.