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April 21, 2014

Andrew Silow-Carroll: Passoverkill? Suggestions to make next year's seders even more culturally sensitive

Sara Israelsen Hartley: Seeking the Divine: An ancient connection in a new context

Christine M. Flowers: Priest's execution in Syria should be call to action

Courtnie Erickson: How to help kids accept the poor decisions of others

Lizette Borreli: A Glass Of Milk A Day Keeps Knee Arthritis At Bay

Lizette Borreli: 5 Health Conditions Your Breath Knows Before You Do

The Kosher Gourmet by Betty Rosbottom Coconut Walnut Bars' golden brown morsels are a beautifully balanced delectable delight

April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review August 17, 2009 / 27 Menachem-Av 5769

Rebutting Obama on Death Panels

By Dick Morris & Eileen Mc Gann




http://www.JewishWorldReview.com | On Friday, Aug. 14, The New York Times ran a front-page story "rebutting" the "rumor" that Obama's health care plan calls for the creation of "death panels" to decide when to pull the plug on sick patients. The rebuttal misses the fundamental truth of the death panel charge.


While there will be no federal board that will vote to kill patients, there will be extensive rationing that will, inevitably, lead to the same result. Taken together, Obama's decision to cut the Medicare budget and to expand insurance coverage to 50 million new patients without any new doctors or nurses, mean that rationing is unavoidable.


When Obama speaks of cutting "inefficiencies" and reducing costs, he means that he will reduce the amount and quality of health care available to the elderly. Denied state-of-the-art medications and necessary surgical procedures, patients will be faced with the grim likelihood of their immanent demise. In the face of this reality, end-of-life counseling will be both necessary and, given the choices, welcome.


Obama will cut care to the elderly in several ways:


1. He will cut hundreds of billions from Medicare spending largely by lowering reimbursement rates to doctors and hospitals for patient care. If a hospital gets less money for each MRI, it will do fewer of them. If a surgeon gets paid less for a heart bypass on a Medicare patient, he will also perform them more rarely. These facts of the marketplace are not only inevitable consequences of Obama's cuts, they are its intended consequence. Without them, his savings will prove illusory.


2. By expanding the patient load through extending full coverage to 50 million Americans (including such "Americans" as illegal immigrants), he will force rationing decisions of harried and overworked doctors and hospitals. There will simply not be enough facilities or personnel to cope with the increased workload. As a result, there will be a de facto rationing as busy surgeons decide who would benefit most from their treatment. The elderly will, inevitably, be the losers in these contests.


3. The Federal Health Board, established by this legislation, will be charged with collecting data on various forms of treatment for different conditions to assess which are the most effective and efficient.


While the conclusions of this board are not specifically imposed on HMOs and health care providers by the legislation, their recommendations will, inevitably, set the standard of care and the protocols that should and will be followed throughout the system. Otherwise, why collect the data at such great cost and effort? Individual public or private insurance companies, and their HMOs, will use these data to allow or deny care to the elderly, a de facto rationing system.


4. In assessing whether to allow certain treatments to sick patients, medical and administrative professionals will be encouraged to apply the QARY system (Quality-Adjusted Remaining Years). Under QARY, the cost of treatment will be amortized over the remaining quality years of life that are likely for each patient.


Does a hip replacement cost $100,000? A 75-year-old diabetic with a heart condition may only have three more quality adjusted years. At $33,333 per year, the price is too steep and the surgery would likely be disallowed. But a 50-year-old who is otherwise healthy, may have 25 years of quality life ahead of him, and, at $4,000 per year, the surgery makes sense.


These assessments diminish the importance of the remaining lives of the elderly and condemn them to infirmity, pain and an earlier death than would otherwise be their fate.


To the extent that any of these steps that curtail care for the elderly lead to an earlier demise, end-of-life counseling will be necessary. While no panel will specifically pronounce a sentence of death on an old person, doctors, hospitals, HMOs and the Federal Health Board will all be forced to participate in decisions to deny adequate care that will amount to the same thing.

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JWR contributor Dick Morris is author, most recently, of "Catastrophet". (Click Catastrophe HERE to purchase. Sales help fund JWR.) Comment by clicking here.



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