Wednesday, March 2, 2011

Austerity Measures in Healthcare Lead to Rationing Kidneys

Brandon Turbeville

From the moment the Obama healthcare bill became an issue in mainstream American politics, anyone who suggested that the bill included rationing and/or death panels was considered any number of things – particularly a conspiracy theorist, racist, or someone who just hated the President for whatever general reason. I know whereof I speak. This was the general reaction I received after I wrote an article entitled Obamacare Is A Eugenics Program.

Yet regardless of public opinion, in the years and months since this article was published, the United States medical system has unmistakably moved in the direction of rationing and death panels. 

In addition to the Presidential appointees who openly espouse rationing, as I discussed in the article linked above, the creation of rationing panels (aka death panels), and the massive cuts  made to Medicare and Medicaid, the recent revelation of new procedures being used to determine who receives kidneys for transplant purposes should serve only to reinforce the belief that rationing is not coming – it is here. 

In an article entitled, Under kidney transplant proposal, younger patients would get the best organs, published in the Washington Post on February 24, 2011, it is reported that the American organ transplant network is considering revamping its current procedure for determining who receives kidneys to a policy that favors younger, healthier people over older, sicker ones. 

Currently, the decision to provide a kidney for transplant is based on who has been on the waiting list longest. However, the proposed changes would make it so that a formula must be followed in order to make the decision as to who received the kidney. Age and health would be the greatest factor in the formula, with preference given to those who are younger and generally healthier than older and sicker patients. All this would be done under the guise of maximizing the number of years of benefit provided by the organ. 

Predictably, many bioethicists are lauding the changes proposed by the United Network for Organ Sharing (UNOS), a private “non-profit” group who was contracted by the Federal government to conduct organ allocation, as a breakthrough. 

The new guidelines being proposed by UNOS bear a striking resemblance to those put forward in the Obama health plan which focuses on “cost-effectiveness” and “outcome-based measures,” guidelines which effectively remove care from the elderly, disabled, and chronically ill as these individuals are seen to benefit much less in terms of years after the treatment. Indeed, these are the guidelines promoted by the Federal Coordinating Council for Comparative Effectiveness Research, one of the rationing boards which was created under the 2009 Stimulus package in anticipation of the Obamacare passage. 

As Arthur C. Caplan, a bioethicist [read eugenicist] from the University of Pennsylvania says in the Post article:
It’s a big shift. For a long time, the whole program has been oriented toward waiting-list time. This is moving it away from a save-the-sickest strategy to trying to get a yield in terms of years of life saved.
The eugenics movement, particularly in the area of healthcare, has existed in this country for ages. However, it has recently accelerated its move towards implementation of full-scale rationing and the cutting off of services and treatment to those deemed as unfit. Namely, those who need it the most.

Cuts to Medicare and Medicaid, “cost-effective” and “outcome-based” measures, and the implementation of this new transplant policy is only the start. 

Even both the Washington Post and Arthur C. Caplan admit that the kidney transplant procedures are not the only issue here. According to Rob Stein, Caplan claims that “if adopted, the approach could have implications for other decisions about how to allocate scarce medical resources, such as expensive cancer drugs and ventilators during hurricanes and other emergencies . . .” 

Not only that, but Caplan openly admits that rationing is the goal. 
This is a fascinating canary-in-a-cave kind of debate. We don’t want to talk about rationing much in America. It’s become taboo in any health-care discussion. But kidneys reminds us there are situations where you have to talk about rationing. You have no choice. This may shine a light on these other areas.
There is absolutely no doubt that these new guidelines are a “canary in the cave” type debate. The eugenicists that run our government have realized that we will accept cuts in existing healthcare programs to the elderly and disabled that amount to death panels. They have realized that we will accept the actual creation of death panels that operate openly in front of us and they have realized that we will put up virtually no resistance to them when this is done. Simply put, the canary in the cave is still singing and we have given the eugenicists no real reason to scale back their plans. 

Nevertheless, the goal of this new proposal is clear to anyone with eyes to see. After all, the chronically ill, the disabled, and the elderly are usually the first to go in a eugenics-based society. Because these individuals no longer produce, and require the constant care of others, they are no longer considered to be an asset to those who view them merely as machines in the first place. 

Brandon Turbeville is an author out of Mullins, South Carolina. He has a Bachelor’s Degree from Francis Marion University where he earned the Pee Dee Electric Scholar’s Award as an undergraduate. He has had numerous articles published dealing with a wide variety of subjects including health, economics, and civil liberties. He also the author of Codex Alimentarius - The End of Health Freedom 

Related by Brandon Turbeville:
Globalism, Think Tanks, and The New World Order 

Related Article:
A Liberal's Awakening to the Reality of ObamaCare 

This article may be re-posted in full with attribution.


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Anonymous said...

So, what you are saying is that the old system where the people with the most money got the organs is better than the new system where the people who can get the most benefit get the organs?

It seems to me that nothing much has changed in terms of "rationing".

Anonymous said...

ABC's Dianne Sawyer did an interview with a doctor in early January 2011. In the interview it was discussed that doctors who provided end of life consultation would be reimbursed by medicaid. Don't have a link to the interview, but do have this article from NY Times.

YourOasis said...

Anonymous #1: why do people always think that when someone opposes a new change it means the opponent is in favor of the status quo? That's not true at all.

It just means this will be worse and less fair, discrimination. It's the culling of the "unfit" who don't contribute anything of "value" in the economy cos that's all we are really to them: consumers and producers, not human beings with needs and emotions. Unless of course you want grandma to die off cos she's a nuisance.

Anonymous said...

It would appear that the "new" system is designed to make the entire selection process
subjective. What this means in real world practical terms is that the government will be able to give preference medical treatment to whom ever it feels like. And conversely it allows the government to murder whom ever it doesn't like by depriving them of medical care. Wow the power of life and death over EVERY citizen. Well at least the poor and middle class.

Anonymous said...

I see no connection between what you describe and actual eugenics. Not saying that I'm a fan of healthcare rationing, but I just think it is important to be intellectually honest and specific about what's going on. You don't provide a definition of eugenics, nor do you offer any evidence that there's an underlying effort to cull the population of the United States in such a way as to affect the gene pool. The truth is we're frittered away decades, letting profit drive a lot of our research and spending decisions, and now we're surprised to see that our medical institution is an expensive fail. Europe's model would have worked here if we'd attempted it two decades ago, and we'd all be healthier if it had. There's no way we can retrofit that model on the US now. It's looking ugly for us no matter what we do.

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