U.S.

Clintons

United States

United States

- Most alarming for people like me, who at 84 years of age recently needed a quadruple bypass and aortic valve replacement, are the pronouncements of President Obama's appointee, Dr. Ezekiel Emanuel, brother of Obama's Chief of Staff Rahm Emanuel, who, according to a New York Post op ed article by Betsy McCauley, former Lt. Governor of the State of New York, stated, "Savings, he writes, will require changing how doctors think about their patients: Doctors take the Hippocratic Oath too seriously, 'as an imperative to do everything for the patient regardless of the cost or effects on others'" He also stated, ";communitarianism' should guide decisions on who gets care. He says medical care should be reserved for the non-disabled, not given to those 'who are irreversibly prevented from being or becoming participating citizens...An obvious example is not guaranteeing health services to patients with dementia.'"In the currentdebate over health care reform, "rationing" has become a dirty word. Meeting last month with five governors, President Obama urged them to avoid using the term, apparently for fear of evoking the hostile response that sank the’ attempt to achieve reform. . .The case for explicit health care rationing in thestarts with the difficulty of thinking of any other way in which we can continue to provide adequate health care to people on Medicaid and Medicare, let alone extend coverage to those who do not now have it. Health-insurance premiums have more than doubled in a decade, rising four times faster than wages. . .Rationing health care means getting value for the billions we are spending by setting limits on which treatments should be paid for from the public purse. . . The debate over health care reform in theshould start from the premise that some form of health care rationing is both inescapable and desirable. Then we can ask, What is the best way to do it?