Wednesday, August 12, 2009

ObamaCare's Complete Lives System

Zeke Emanuel is Rahm Emanuel's brother and Pres Obama's Special Advisor for Health Policy and a guy I think Obama's choice for the US's first "Health Choices Commissioner" to be created under subtitle E of HR 3200. The graph is from a recent article in the British Medical Jouranal The Lancet titled Principles for allocation of scarce medical interventions (a PDF file).

James Gaulte over at retired docs thoughts writes a great review of it: The "Complete Lives System"-why so little comment from the medical blogger world?
The basic premise seems to be that since someone or some entity must allocate scare medical resources there should be a "morally" acceptable method for such allocation. The authors, which include Dr. Ezekiel J Emanuel, brother of President Obama's Chief of Staff, and "Special Advisor for Health Policy" to the president presents a detailed proposal of how this allocation should be done. (Using the passive voice here serves the purpose or not having to say that the government will do the allocation.)

The authors begin with a critical review of the currently in existence allocation systems and finding flaws in each proceed to devise their own "hybrid" supposedly salvaging the good and casting out the less desirable elements of the various systems.

Expectedly, this "morally acceptable" allocation process would allocate less to the elderly and those with incurable illnesses. Perhaps unexpectedly, their process would place, for example, a fifteen year person allocation-wise above an infant because they say more social expenditures have been made on the adolescent and society need to get its money's worth.

The underlying theme is that individuals exist for the good of the collective ( state, society, pick one) and in health care decisions the greater good of society, now apparently denominated in "life years", trump the individual every time.
Read Zeke, read Gaulte, then find your age on the graph and you won't need to think hard why seniors a bit angry.

Hubert Humphrey's Liberal's mantra was,

"It was once said that the moral test of Government is how that Government treats those who are in the dawn of life, the children; those who are in the twilight of life, the elderly; and those who are in the shadows of life, the sick, the needy and the handicapped."

Look at that bulge in the graph for the young to receive the bulk of the car and wonder if HR3200 passes HHH's test?

It seems a total failure to me. A true Liberal (or Socialist) would build Hospitals and Clinics, educate more Doctors and Nurses; as the real way to build supply to meet peoples needs. Not slap price controls on the status quo of employer-based health and than ration the car to the young and productive in the name of the greater good.

1 comment:

Phil_in_VA said...

r u still flogging that CLS meme? that's so-o-o 2009