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Ezekiel Emanuel (Mengele) and the Obama-Care Final Solution
JEFFHEAD.COM ^ | Aug 6, 2009 | Jeff Head

Posted on 08/06/2009 6:40:46 AM PDT by Jeff Head

PLEASE, make everyone you know...your family, relatives, friends, and neighbors aware of this information and the sick views of the architect of Obama Care.

Is the "Final Solution" wording that was added to this revamped Obama Health Care graphic warranted? Some might see it as a simple play on words.

But before you decide how to consider that wording, please read the following shocking quotes from Dr. Ezekiel Emanuel, the chief health-care policy adviser to President Barack Hussein Obama, and (not coincidentily) the brother of Obama's chief of staff, Rahm Emanuel.

"Services provided to individuals who are irreversibly prevented from being or becoming participating citizens are not basic and should not be guaranteed. An obvious example is not guaranteeing health services to patients with dementia."

"When implemented, the complete lives system produces a priority curve on which individuals aged between roughly 15 and 40 years get the most substantial chance, whereas the youngest and oldest people get chances that are attenuated."

"Strict youngest-first allocation directs scarce resources predominantly to infants. This approach seems incorrect. The death of a 20-year-old woman is intuitively worse than that of a 2-month-old girl, even though the baby has had less life. The 20-year-old has a much more developed personality than the infant, and has drawn upon the investment of others to begin as-yet-unfulfilled projects.... Adolescents have received substantial substantial education and parental care, investments that will be wasted without a complete life. Infants, by contrast, have not yet received these investments.... It is terrible when an infant dies, but worse, most people think, when a three-year-old child dies, and worse still when an adolescent does."

"Ultimately, the complete lives system does not create 'classes of Untermenschen whose lives and well being are deemed not worth spending money on,' but rather empowers us to decide fairly whom to save when genuine scarcity makes saving everyone impossible."

"Vague promises of savings from cutting waste, enhancing prevention and wellness, installing electronic medical records and improving quality are merely 'lipstick' cost control, more for show and public relations than for true change. Savings 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."

"Unlike allocation by sex or race, allocation by age is not invidious discrimination; every person lives through different life stages rather than being a single age. Even if 25-year-olds receive priority over 65-year-olds, everyone who is 65 years now was previously 25 years."

"Every favor to a constituency should be linked to support for the health-care reform agenda. If the automakers want a bailout, then they and their suppliers have to agree to support and lobby for the administration's health-reform effort."

These quotes are something you would expect from Dr. Mengle of the Nazi Germany years, or perhaps the ultra progressives from earlier years who were pushing Eugenics.

They might be something you would expect today from some very fringe, wild-eyed population control radicals.

But they are not. These are the words from the chief advisor to the President of the United States on health care and a chief architect of the health care plans being forumlated by the Obama administration and the democratic controlled Congress.

These are absolutely sick, un-American, far left, radical views. The Health Care Plan developed by the proponent of this thinking is sure to contain provisions, processes, and planning for the longer range implementation of these steely-eyed, radical goals and principle of its inventor, Dr. Ezekiel Emanuel.

Do not fall for the platitudes and the revisionism or assurances of the people pushiung this plan. It is a radical plan and it will lead to single payer, complete governmental control of health care. A command economy of health care much more akin to what someone like Karl Marx would implement to go hand and hand with his political philospohpies.

The president, in a less-guarded moment before running for the Presidency out lined his true goals with respect to Health Care, and now he has the congress and the advisors he thinks will lead him there.

“I happen to be a proponent of a single-payer universal health care program. I see no reason why the United States of America, the wealthiest country in the history of the world, spending 14 percent of its gross national product on health care, cannot provide basic health insurance to everybody. And that’s what Jim is talking about when he says everybody in, nobody out. A single-payer health care plan, a universal health care plan. That’s what I’d like to see. But as all of you know, we may not get there immediately. Because first we’ve got to take back the White House, we’ve got to take back the Senate, and we’ve got to take back the House.”

When you add to this the President and his Whitehouse staff's pronouncment of Aug 4, 2009, that Americans should listen to other Americans casual conversation and then turn in those people or web-sites that voice anything "fishy" in opposition to the health care plan, and add it together with the pronouncements of the Chief Health-Care advisors, the wording on the graphic above comes into much clearer focus.

MY LETTER TO THE WHITEHOUSE AND OBAMA ABOUT FREE SPEECH

OBAMA HEALTH CARE BY THE NUMBERS - DOWNLOAD & READ THE HOUSE DEMOCRAT PLAN

A PETITION ON FACEBOOK FOR CONSTITUTIONAL RESTORATION



TOPICS: Culture/Society; Editorial; Government; News/Current Events
KEYWORDS: ezekielemanuel; nobama; obamatruthfile; obamcare; rahm
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"Strict youngest-first allocation directs scarce resources predominantly to infants. This approach seems incorrect. The death of a 20-year-old woman is intuitively worse than that of a 2-month-old girl, even though the baby has had less life. The 20-year-old has a much more developed personality than the infant, and has drawn upon the investment of others to begin as-yet-unfulfilled projects.... Adolescents have received substantial substantial education and parental care, investments that will be wasted without a complete life. Infants, by contrast, have not yet received these investments.... It is terrible when an infant dies, but worse, most people think, when a three-year-old child dies, and worse still when an adolescent does."

"Ultimately, the complete lives system does not create 'classes of Untermenschen whose lives and well being are deemed not worth spending money on,' but rather empowers us to decide fairly whom to save..."

This is beyond insurance and provider choice issues. This is pure evil in out time. Obama Care simply MUST be stopped.

1 posted on 08/06/2009 6:40:46 AM PDT by Jeff Head
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To: Noumenon; joanie-f; Dukie; betty boop; Grampa Dave; B4Ranch; Travis McGee; Eaker; Squantos; ...

FYI. Critical information that most Americans are wholly unaware of. Please forwad widely.


2 posted on 08/06/2009 6:43:21 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: Jeff Head

Don’t forget Daschle - he’s got a lot of fingerprints onthis as well. The Emmanuel brothers...what a duet.


3 posted on 08/06/2009 6:44:17 AM PDT by SueRae
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To: Jeff Head
Jeff, I suspect the White House has your number with this post ... love the poster - (now they have mine too!)

Eff liberal brown shirts...

4 posted on 08/06/2009 6:47:11 AM PDT by GOPJ (ACORN - Losers paid to protest - the liberal version of "rent a crowd"...)
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To: SueRae
Obama has played his hand. Those who he has put into positions of influence and pwoer all around him sound like the megles, Himmlers, and Goebles of Nazi Germany. Their views are that radical. Abject marxists and communists, radical abortions moving to infanticide, Eugenics, crush free speach, etc., etc.
5 posted on 08/06/2009 6:48:15 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: GOPJ

I subscribe to the John Hancock principle of dissent.


6 posted on 08/06/2009 6:49:09 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: Jeff Head

Me too! Write it large...


7 posted on 08/06/2009 6:50:09 AM PDT by GOPJ (ACORN - Losers paid to protest - the liberal version of "rent a crowd"...)
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To: Jeff Head
"Every favor to a constituency should be linked to support for the health-care reform agenda. If the automakers want a bailout, then they and their suppliers have to agree to support and lobby for the administration's health-reform effort."

Cash for clunkers for deathcare.

8 posted on 08/06/2009 6:50:52 AM PDT by palmer (Cooperating with Obama = helping him extend the depression and implement socialism.)
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To: palmer

Explains all you need to know about the bail-outs...and the stimuls for that matter. These even more evil and sickening thoughts and plans were behind it from the get go.


9 posted on 08/06/2009 6:51:58 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: Kackikat

FYI...this is one of their principle end-games.


10 posted on 08/06/2009 6:55:35 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: GOPJ

Exactly...I want them to know who I am. For every one of me they bring down, 1st, it will cost them dearly if they can, and 2nd there are millions of others lined up to continue the fight.


11 posted on 08/06/2009 7:00:34 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: Jeff Head

I agree, and we need to be smarter, more organized and prepared, less confrontational, and because they are wild with enthusiasm to get this done...they will screw up. In fact this WH website for collecting data on Americans is an infringment on free speech.

It is a type of ENTRAPMENT, that if they find law violators that 5 U.S.C. 552a (7) which protects us via 1st Amendment could be used as a “law enforcement” issue and claim an investigation that never occurred, until the info was supplied via the informant. We know many lie everyday as is.


12 posted on 08/06/2009 7:00:39 AM PDT by Kackikat
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To: Jeff Head
[The 20-year-old has a much more developed personality than the infant, and has drawn upon the investment of others to begin as-yet-unfulfilled projects.... ]
 

IOW, the Anti-Americans want to leverage their investment in the crop of 20-year-old useful idiots they've created.
 

"Give me a generation of 4 year olds and I'll give you a revolution"
---- Comrade Clinton's mission accomplished?

13 posted on 08/06/2009 7:09:49 AM PDT by LomanBill (Animals! The DemocRats blew up the windmill with an Acorn!)
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To: Kackikat
They are trying to create an environemtn where thre followers are pitted against patriotic American dissent to their marxist goals. They are being called hard on it already.

I expect that the Oathkeepers.org people are watching it closely...because they are already on record for not obeying such orders.

14 posted on 08/06/2009 7:12:19 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: LomanBill
That is their intent...with a mic of infanticide and Eugenics thrown in for good measure. Pure evil.

But they shall fail.

15 posted on 08/06/2009 7:13:14 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: Jeff Head
["genuine scarcity makes saving everyone impossible." ]
 
And who manufactured that "genuine scarcity", hmmmm?  The usual suspects, of course.
 
Read, my, tagline.

16 posted on 08/06/2009 7:14:48 AM PDT by LomanBill (Animals! The DemocRats blew up the windmill with an Acorn!)
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To: Jeff Head

Scary stuff. Any idea what the three stars represent? Certainly not Life, Liberty, and the Pursuit of Happiness?

Are they in Obama’s original logo for this movement? (haven’t had the misfortune to actually see it - just heard about it)


17 posted on 08/06/2009 7:22:41 AM PDT by dagogo redux (I never met a Dem yet who didn't understand a slap in the face, or a slug from a .45)
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To: Jeff Head

This may turn out to be the biggest scandal in the history of the USA, if a lot of Constitutional violations occur. This could go either way.


18 posted on 08/06/2009 7:22:45 AM PDT by Kackikat
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To: LomanBill
And who manufactured that "genuine scarcity", hmmmm? The usual suspects, of course.

Unless congress and ALL government and union workers get the same health care as the general public, it is old style French aristocracy riding rampant over the peasants. GUILLOTINE ! ! !

19 posted on 08/06/2009 7:24:37 AM PDT by Huebolt (Kill the boomers quickly and cheaply = O BUMMER CARE "take the pain medication")
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To: Huebolt

You forgot ACORN. They are exempt too.

I’m reading the bill, checking to make sure the points that have been sent around are accurate (yes they are) but it only takes you to about page 400.

_________________________________QUOTING the HR 3200 HC bill.

On page 619 is the heading CONSIDERATIONS IN SETTING NATIONAL PRIORITIES.

With respect to such priorities, the SECRETARY (that is all thru the bill meaning Sec. of Health and Services) shall ensure that priority is given to areas in the delivery of health care services in the United States that-

PAGE 620
“(1) contribute to a large burden of disease, including those that address the health care provided to patients with prevalent, high-cost chronic diseases;
( I think this is the AIDS solution?)

“(2) have the greatest potential to decrease morbidity and mortality in this country, including those that are designed to eliminate harm to patients;

“(3) have the greatest potential for improving the performance, affordability , and patient-centeredness of health care, including those due to variations in care;

“(4) address health disparities across groups and areas;

“ (5) have the potential for rapid improvement due to existing evidence, standards of care or other reasons.

Then it goes on to talk about Consensus-based entities.


20 posted on 08/06/2009 7:28:11 AM PDT by The Bat Lady (Doggett you can run, but you can't back your car out over the people....yet.)
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To: Jeff Head
[has drawn upon the investment of others to begin as-yet-unfulfilled projects.... ]
 
And of course the communitarian's (communist's) project is always more important than the persons, the disposable slaves, who the masters would have building the pyramids.
 

Looks like somebody forgot the purpose, again:
 
"TO SECURE THESE RIGHTS, Governments are instituted among men".

21 posted on 08/06/2009 7:53:25 AM PDT by LomanBill (Animals! The DemocRats blew up the windmill with an Acorn!)
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To: Jeff Head

Ezekiel Emanuel is no different than the Nazis who sought to save the Reich money by killing those unfit and inferior. He is seeking to recreate the holocaust for the aged and infirm.


22 posted on 08/06/2009 7:55:34 AM PDT by The Great RJ ("The problem with socialism is that you eventually run out of other people's money." M. Thatcher)
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To: Jeff Head

This is truly the face of evil. The problem I’m running into is that some of the people at work don’t believe these sorts of quotes because they can’t believe that anyone is really so evil and even if they were they wouldn’t actually say it out loud...so they assume it must be something taken out of context. Essentially, true evil is so extreme that people can’t accept that it exists.


23 posted on 08/06/2009 7:58:29 AM PDT by highlander_UW (The only difference between the MSM and the DNC is the MSM sells ad space in their propaganda)
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To: dagogo redux
Yes, they are in the original logo...right above the Obama rainbow circle, which in the original logo is right where Obama's Joker-head is in my rednition.

I do not know what they represetn...but I do know that Obama willfully chose a Dr. to advise him who talks about the fundamental trappings of infanticide and Eugenics like they are his own.

it's twisted, sick, and perverted...it is also scary and dangerous and something we simply cannot allow to stand.

everyone we know should hear or read these quotes. I am confident that the absolute vast majority of Americans will turn away from it in horror and vote and shout it down.

24 posted on 08/06/2009 8:00:23 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: The Great RJ

Exactly and spot on. That is the message, loud and clear...and now we must stand against it.


25 posted on 08/06/2009 8:01:44 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: Jeff Head

Strange “Jews,” these Emmanuels.


26 posted on 08/06/2009 8:01:55 AM PDT by Zionist Conspirator (Lo' `al-halechem levaddo yichyeh ha'adam, ki `al-kol-motza' Fi-HaShem yichyeh ha'adam.)
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To: highlander_UW

Have them simply Google Ezekiel Emanuel and read them for themselves. He has not tried to hide it.


27 posted on 08/06/2009 8:02:37 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: LomanBill
We must join together, by the hundreds of thousands, if not millions, and remind them of it.

A PETITION ON FACEBOOK FOR CONSTITUTIONAL RESTORATION

28 posted on 08/06/2009 8:04:47 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: Jeff Head

How about showing the source of the quote from Dr. Ezekiel Emanuel?

We need it for ammo.


29 posted on 08/06/2009 8:05:23 AM PDT by listenhillary (90% of our problems could be resolved with a government 10% of the size it is now.)
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To: Jeff Head

BTT


30 posted on 08/06/2009 8:08:15 AM PDT by sunny48
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To: Jeff Head

bttt


31 posted on 08/06/2009 8:08:23 AM PDT by Osage Orange (There ought to be one day-- just one-- when there is open season on senators. - Will Rogers)
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To: Huebolt; Jim Robinson; Jeff Head

>>GUILLOTINE ! ! !

But the masters want the village burned down. Reconstruction is so, profitable.

Thus, rather than complying with their intent I think we should destroy them from within - by confronting every government employee worker-bee with the purpose of American governance: “TO SECURE THESE RIGHTS”.

Those employees whose scope of function is beyond that specified purpose, and who subsequently fail to seek a paycheck elsewhere, should be identified, exposed, and symbolically tarred and feathered on the Internet; hounded mercilessly until they develop an American conscience and stop suckling from the government tit.

Just as, under the protection of the 1st amendment Larry Flynt published an “A$$hole of the month”, so FR should publish a Bureaucratic Parasite of the week.

It’s time to put the teeth back in the watchdog (media); and we are it.


32 posted on 08/06/2009 8:09:35 AM PDT by LomanBill (Animals! The DemocRats blew up the windmill with an Acorn!)
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To: listenhillary; Jeff Head

Here is the source for the “Complete Lives System”

http://www.ncpa.org/pdfs/PIIS0140673609601379.pdf


33 posted on 08/06/2009 8:30:39 AM PDT by listenhillary (90% of our problems could be resolved with a government 10% of the size it is now.)
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To: Jeff Head
>>We must join together, by the hundreds of thousands,
>>if not millions, and remind them of it.
 
Even the longest journey begins with a single step. . . .
 
Road Trip!
9/12/2009
 

34 posted on 08/06/2009 8:33:31 AM PDT by LomanBill (Animals! The DemocRats blew up the windmill with an Acorn!)
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To: LomanBill
We're going to go to Washington DC with several hundred, if not millions of signatures here in a few months to do just that.

A PETITION ON FACEBOOK FOR CONSTITUTIONAL RESTORATION

35 posted on 08/06/2009 8:33:38 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: listenhillary
From the complete lives system


36 posted on 08/06/2009 8:34:43 AM PDT by listenhillary (90% of our problems could be resolved with a government 10% of the size it is now.)
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To: Jeff Head
I registered and downloaded the article that EE published in the Lancet. I also copied an image from it to my photobucket site


37 posted on 08/06/2009 8:58:53 AM PDT by palmer (Cooperating with Obama = helping him extend the depression and implement socialism.)
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To: listenhillary
Thanks for providing that link. These people are sick overloards who want the power of life and death over us all. Just reading their causal and analytical pronouncements and judgements on the rest of humanity makes me sick and gives you insight into to the types of similar "discussions", "amalysis", and pronouncements that ended up going on in Nazi Germany or any other totlaitarian states.

Here's some of the verbiage regarding what they want to decide for all of us.

Prognosis or life-years
Rather than saving the most lives, prognosis allocation aims to save the most life-years. This strategy has been used in disaster triage and penicillin allocation, and motivates the exclusion of people with poor prognoses from organ transplantation waiting lists.7,21,46 Maximising life-years has intuitive appeal. Living more years is valuable, so saving more years also seems valuable.8

However, even supporters of prognosis-based allocation acknowledge its inability to consider distribution as well as quantity.46 Making a well-off person slightly better off rather than slightly improving a worse-off person’s life would be unjust; likewise, why give an extra year to a person who has lived for many when it could be given to someone who would otherwise die having had few?8,47 Similarly, giving a few life-years to many diff ers from giving many life-years to a few.8 As with the principle of saving the most lives, prognosis is undeniably relevant but insuffi cient alone.

Promoting and rewarding social usefulness
Unlike the previous values, social value cannot direct allocation on its own.20 Rather, social value allocation prioritises specifi c individuals to enable them to promote other important values, or rewards them for having promoted these values.

In view of the multiplicity of reasonable values in society and in view of what is at stake, social value allocation must not legislate socially conventional, mainstream values.1 When Seattle’s dialysis policy favoured parents and church-goers, it was criticised: “The Pacific Northwest is no place for a Henry David Thoreau with kidney failure.”48 Allocators must also avoid directing interventions earmarked for health needs to those not relevant to the health problem at hand, which covertly exacerbates scarcity.8,49 For instance, funeral directors might be essential to preserving health in an infl uenza pandemic, but not during a shortage of intensive-care beds.

Instrumental value
Instrumental value allocation prioritises specifi c individuals to enable or encourage future usefulness. Guidelines that prioritise workers producing infl uenza vaccine exemplify instrumental value allocation to save the most lives.5 Responsibility-based allocation—eg, allocation to people who agree to improve their health and thus use fewer resources—also represents instrumental value allocation.50

This approach is necessarily insuffi cient, because it derives its appeal from promoting other values, such as saving more lives: “all whose continued existence is clearly required so that others might live have a good claim to priority”.20 Prioritising essential health-care staff does not treat them as counting for more in themselves, but rather prioritises them to benefi t others. Instrumental value allocation thus arguably recognises the moral importance of each person, even those not instrumentally valuable.

Student military deferments have shown that instrumental value allocation can encourage abuse of the system.51 People also disagree about usefulness: is saving all legislators necessary in an infl uenza pandemic?20 Decisions on usefulness can involve complicated and demeaning inquiries.52 However, where a specifi c person is genuinely indispensable in promoting morally relevant principles, instrumental value allocation can be appropriate.

Reciprocity
Reciprocity allocation is backward-looking, rewarding past usefulness or sacrifi ce. As such, many describe this allocative principle as desert or rectifi catory justice, rather than reciprocity. For important health-related values, reciprocity might involve preferential allocation to past organ donors,8 to participants in vaccine research who assumed risk for others’ benefi t,53 or to people who made healthy lifestyle choices that reduced their need for resources.50 Priority to military veterans embodies reciprocity for promoting non-health values.54

Proponents claim that “justice as reciprocity calls for providing something in return for contributions that people have made”.53 Reciprocity might also be relevant when people are conscripted into risky tasks. For instance, nurses required to care for contagious patients could deserve reciprocity, especially if they did not volunteer. Reciprocity allocation, like instrumental value allocation, might potentially require time-consuming, intrusive, and demeaning inquiries, such as investigating whether a person adhered to a healthy lifestyle.5

Furthermore, unlike instrumental value, reciprocity does not have the future-directed appeal of promoting important health values. Ultimately, the appropriateness of allocation based on reciprocity seems to depend in a complex way on several factors, such as seriousness of sacrifi ce and irreplaceability. For instance, former organ donors seem to deserve reciprocity since they make a serious sacrifi ce and since there is no surplus of organ donors. By contrast, laboratory staff who serve as vaccine production workers do not incur serious risk nor are they irreplaceable, so reciprocity seems less appropriate for them.

Quality-adjusted life-years
Allocation systems based on quality-adjusted life-years (QALY) have two parts (table 2). One is an outcome measure that considers the quality of life-years. As an example, the quality-of-life measure used by the UK National Health Service rates moderate mobility impairment as 0·85 times perfect health.66 QALY allocation therefore equates 8·5 years in perfect health to 10 years with moderately impaired mobility.67 The other part of QALY allocation is a maximising assumption: that justice requires total QALYs to be maximised without consideration of their distribution.46,68 QALY allocation initially constituted the basis for Oregon’s Medicaid coverage initiative, and is currently used by the UK’s National Institute for Health and Clinical Excellence (NICE).69,70 Both the ethics and effi cacy of QALY allocation have been substantially discussed.46

The QALY outcome measure has problems. Even if a life-year in which a person has impaired mobility is worse than a healthy life-year, someone adapted to wheelchair use might reasonably value an additional life-year in a wheelchair as much as a non-disabled person would value an additional life-year without disability.71 Allocators have struggled with this issue.72

More importantly, maximising the number of QALYs is an insuffi cient basis for allocation. Although QALY advocates appeal to the idea that all QALYs are equal, people, not QALYs, deserve equal treatment.73 Treatment of a serious disease such as appendicitis gives a few people many more QALYs, whereas treatment of a minor problem like uncapped teeth gives many people a few more QALYs.70 Even though the two strategies produce equal numbers of QALYs, they treat individuals very diff erently.8 Likewise, giving QALYs to someone who has had few life-years diff ers morally from giving them to someone who has already had many.8,47 Ultimately, QALY allocation systems do not recognise many morally relevant values—such as treating people equally, giving priority to the worst-off , and saving the most lives—and are therefore insuffi cient for just allocation.

Disability-adjusted life-years
WHO endorses the system of disability-adjusted life-year (DALY) allocation (table 2).74 As with QALY allocation, DALY allocation does not consider interpersonal distribution. DALY systems also incorporate quality-of-life factors—for instance, they equate a life-year with blindness to roughly 0·6 healthy life-years.74 Additionally, DALY allocation ranks each life-year with the age of the person as a modifi er: “The well-being of some age groups, we argue, is instrumental in making society fl ourish; therefore collectively we may be more concerned with improving health status for individuals in these age groups.”74 This argument, although used to justify age-weighting, would equally justify counting the life-years of economically productive people and those caring for others for more. DALY allocation wrongly incorporates age into the outcome measure, claiming that a year for a younger person is in itself more valuable. Priority for young people is better justifi ed on grounds of distributive justice.41 Also, the use of instrumental value to justify DALY allocation resembles that used in Seattle’s dialysis allocation, which inappropriately favoured wage earners and carers of dependants.

The complete lives system
Because none of the currently used systems satisfy all ethical requirements for just allocation, we propose an alternative: the complete lives system. This system incorporates fi ve principles (table 2): youngest-fi rst, prognosis, save the most lives, lottery, and instrumental value.5 As such, it prioritises younger people who have not yet lived a complete life and will be unlikely to do so without aid. Many thinkers have accepted complete lives as the appropriate focus of distributive justice: “individual human lives, rather than individual experiences, [are] the units over which any distributive principle should operate.”1,75,76 Although there are important diff erences between these thinkers, they share a core commitment to consider entire lives rather than events or episodes, which is also the defi ning feature of the complete lives system. Consideration of the importance of complete lives also supports modifying the youngest-fi rst principle by prioritising adolescents and young adults over infants (fi gure). Adolescents have received substantial education and parental care, investments that will be wasted without a complete life. Infants, by contrast, have not yet received these investments. Similarly, adolescence brings with it a developed personality capable of forming and valuing long-term plans whose fulfi lment requires a complete life.77 As the legal philosopher Ronald Dworkin argues, “It is terrible when an infant dies, but worse, most people think, when a three-year-old child dies and worse still when an adolescent does”;78 this argument is supported by empirical surveys.41,79 Importantly, the prioritisation of adolescents and young adults considers the social and personal investment that people are morally entitled to have received at a particular age, rather than accepting the results of an unjust status quo. Consequently, poor adolescents should be treated the same as wealthy ones, even though they may have received less investment owing to social injustice.

The complete lives system also considers prognosis, since its aim is to achieve complete lives. A young person with a poor prognosis has had few life-years but lacks the potential to live a complete life. Considering prognosis forestalls the concern that disproportionately large amounts of resources will be directed to young people with poor prognoses.42 When the worst-off can benefi t only slightly while better-off people could benefi t greatly, allocating to the better-off is often justifi able.1,30 Some small benefi ts, such as a few weeks of life, might also be intrinsically insignifi cant when compared with large benefi ts.8

Saving the most lives is also included in this system because enabling more people to live complete lives is better than enabling fewer.8,44 In a public health emergency, instrumental value could also be included to enable more people to live complete lives. Lotteries could be used when making choices between roughly equal recipients, and also potentially to ensure that no individual—irrespective of age or prognosis—is seen as beyond saving.34,80 Thus, the complete lives system is complete in another way: it incorporates each morally relevant simple principle. When implemented, the complete lives system produces a priority curve on which individuals aged between roughly 15 and 40 years get the most substantial chance, whereas the youngest and oldest people get chances that are attenuated (fi gure).78 It therefore superfi cially resembles the proposal made by DALY advocates; however, the complete lives system justifi es preference to younger people because of priority to the worst-off rather than instrumental value. Additionally, the complete lives system assumes that, although life-years are equally valuable to all, justice requires the fair distribution of them. Conversely, DALY allocation treats life-years given to elderly or disabled people as objectively less valuable.

Finally, the complete lives system is least vulnerable to corruption. Age can be established quickly and accurately from identity documents. Prognosis allocation encourages physicians to improve patients’ health, unlike the perverse incentives to sicken patients or misrepresent health that the sickest-fi rst allocation creates.

Least curriptable? Really? Says who? It would be the MOST corruptable by the few who would have absolute control of it and the mechansim that decided life and death for the rest of us.
38 posted on 08/06/2009 8:58:55 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: listenhillary

Oops, I should have read the thread.


39 posted on 08/06/2009 8:59:50 AM PDT by palmer (Cooperating with Obama = helping him extend the depression and implement socialism.)
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To: palmer

See my post 38.


40 posted on 08/06/2009 8:59:50 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: Jeff Head

Need to send this lancet report and graphics to Glenn Beck, Hannity and Limbaugh.

I can’t do it at the moment.


41 posted on 08/06/2009 9:25:02 AM PDT by listenhillary (90% of our problems could be resolved with a government 10% of the size it is now.)
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To: Jeff Head

Dr. Zeke “the Freak” Emanuel belongs in a cage.


42 posted on 08/06/2009 10:08:35 AM PDT by Brad from Tennessee (A politician can't give you anything he hasn't first stolen from you.)
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To: Jeff Head

JH, Excellent job. I have been thinking about doing a Freep up here, and I think these quotes on placards with the name, picture and official job title of the author would be eloquent statements.

Thanks so much for the links and information.


43 posted on 08/06/2009 10:41:53 AM PDT by rlmorel ("The Road to Serfdom" by F.A.Hayek - Read it...today.)
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To: All

44 posted on 08/06/2009 10:42:58 AM PDT by rlmorel ("The Road to Serfdom" by F.A.Hayek - Read it...today.)
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To: rlmorel
You are welcome. Good luck on that Freep...we have to all take it to these reps so they can know that the jig is up.

Also, please consider joining with us and signing our Constitutional Restoration Petition and spread it around. We are going to deliver it and the signatures to Washingotn DC, direct to Congress.

A PETITION ON FACEBOOK FOR CONSTITUTIONAL RESTORATION

45 posted on 08/06/2009 10:53:53 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: Jeff Head

Are you going to do it in September?


46 posted on 08/06/2009 10:55:27 AM PDT by rlmorel ("The Road to Serfdom" by F.A.Hayek - Read it...today.)
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To: rlmorel
If we have enough singatures...but since we just started the drive...it may be later Fall or even next Spring.

We want several hundred thousand at least...millions would be better.

47 posted on 08/06/2009 10:57:07 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: Jeff Head

48 posted on 08/06/2009 12:18:40 PM PDT by Mogollon (Resistance to tyrants is obedience to God. -- Thomas Jefferson)
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To: Jeff Head
Ezekiel Emanuel (Mengele)

Love it! Short version: Zeke Emengele.

49 posted on 08/06/2009 1:15:18 PM PDT by Defiant (Reaganland vs. Obamastan: Let's go our separate ways.)
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To: Jeff Head

Bookmarked for later read.


50 posted on 08/06/2009 1:41:45 PM PDT by TenthAmendmentChampion (Be prepared for tough times. FReepmail me to learn about our survival thread!)
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