Arpig
Posts: 9930
Joined: 1/3/2006 From: Increasingly further from reality Status: offline
|
Actually Sanity,its more a case of you seeing something in front of you that is not there. Obama says nothing of the sort that you are attributing to him in either the edited version of the interview, nor in the full version of the comments posted earlier in the thread.quote:
“That’s where I think you just get into some very difficult moral issues,” he said in the April 14 interview. “The chronically ill and those toward the end of their lives are accounting for potentially 80 percent of the total health- care bill out here.” OK, here he states that there are some serious moral issues that have to be addressed due to the fact that end-of-life health care accounts for a disproportionately large percentage of the total cost of health care. There is nothing here that says one way or the other exactly what moral issues he is referring to nor where he might stand on any of them. The earlier bits about his grandmother implies that he is in favour of things like hip replacements for terminally ill patients if it will better their lives, however there is a point where such surgery becomes pointless. If a person is bedridden because of a bad hip but would otherwise be mobile then there is a point in the surgery,however if a person is bedridden due to the advanced stage of their cancer and would remain bedridden even with the hip replacement then the surgery really isn't justified. This is the sort of "moral issue" he is talking about. He is saying that we have to look at what is being spent on what in the field of palliative care and that we have to figure out what is and what isn't effective or justified,that we can't just keep on paying for things like hip replacements for people who will not benefit from them. In some cases it would be more sensible to focus on pain management for the few remaining weeks of life rather than do major surgery. "AHA!" you say, "see right there he says there will be a death panel of bureaucrats deciding who gets the surgery and who dies....." And I would say you had a point except that the President said more, he wasn't finished with the thought. He said he wanted to create an independent panel of "doctors, scientists and ethicists" (you will note the absolute absence of actuaries, bureaucrats,and other associated bean-counters) This panel will not make decisions, it will "guide the conversation". So it will examine the various issues and the evidence and come to decisions and from these decisions it will set the parameters of the discussion. OK so now we have a panel of experts in the field, and they have examined the various issues and given their opinions on them, what then...well Obama still isn't done, he tells us exactly what happens then...."And then there is going to have to be a very difficult democratic conversation that takes place" A "democratic conversation" That implies voting on things, either directly or indirectly through representatives. So what Obama in fact is saying is that there are some serious issues that must be addressed regarding the current state of palliative/end-of-life care, and that these issues should be decided through the democratic process in a public debate with expert advice given by an independent group of "doctors,scientists and ethicists". So Obama's "death panels" would in fact be an advisory group that would issue opinions to be used to guide the public debate...imagine that, a public debate guided by relevant experts rather than TV talking heads and loonie left/right talk radio types. That is exactly what Obama said in the interview, nothing about death panels or rationing on some cost-effectiveness study. Serious moral issues being decided by a public debate and a democratic process, advised by experts in the relevant fields. Its really not that difficult an idea to grasp, though it is somewhat revolutionary.
_____________________________
Big man! Pig Man! Ha Ha...Charade you are! Why do they leave out the letter b on "Garage Sale" signs? CM's #1 All-Time Also-Ran
|