Posts Tagged ‘health care plan’

An Intelligent Citizen Analyzes What The Health Bill Actually Says

August 12, 2009

I don’t have a single doubt that Professor John David Lewis is an outstanding professor of the Classics.  He took his expertise in reading and understanding and put them to work in an analysis of the House health care legislation that is currently available.  He cites relevant sections of the bill and explains them in English (versus legalese or medicalese).  If you want a better understanding of what this plan will do to Americans and to the country, it is very much worth reading:

The version at Lewis’ site is “cleaner” with better formatting, and I would recommend you read it there.  I include the full text here because a) it is really good; b) I would like to ensure this gets as much attention as possible; and c) if it goes down in one place, it’s nice that it is preserved in another.

The Health Care Bill: What HR 3200, ‘‘America’s Affordable Health Choices Act of 2009,” Says

John David Lewis

August 6, 2009

What does the bill, HR 3200, short-titled ‘‘America’s Affordable Health Choices Act of 2009,” actually say about major health care issues? I here pose a few questions in no particular order, citing relevant passages and offering a brief evaluation after each set of passages.

This bill is 1017 pages long. It is knee-deep in legalese and references to other federal regulations and laws. I have only touched pieces of the bill here. For instance, I have not considered the establishment of (1) “Health Choices Commissio0ner” (Section 141); (2) a “Health Insurance Exchange,” (Section 201), basically a government run insurance scheme to coordinate all insurance activity; (3) a Public Health Insurance Option (Section 221); and similar provisions.

This is the evaluation of someone who is neither a physician nor a legal professional. I am citizen, concerned about this bill’s effects on my freedom as an American. I would rather have used my time in other ways—but this is too important to ignore.

We may answer one question up front: How will the government will pay for all this? Higher taxes, more borrowing, printing money, cutting payments, or rationing services—there are no other options.  We will all pay for this, enrolled in the government “option” or not.

(All bold type within the text of the bill is added for emphasis.)

1.      1.  WILL THE PLAN RATION MEDICAL CARE?

This is what the bill says, pages 284-288, SEC. 1151. REDUCING POTENTIALLY PREVENTABLE HOSPITAL READMISSIONS:

‘(ii) EXCLUSION OF CERTAIN READMISSIONS.—For purposes of clause (i), with respect to a hospital, excess readmissions shall not include readmissions for an applicable condition for which there are fewer than a minimum number (as determined by the Secretary) of discharges for such applicable condition for the applicable period and such hospital.

and, under “Definitions”:

‘‘(A) APPLICABLE CONDITION.—The term ‘applicable condition’ means, subject to subparagraph (B), a condition or procedure selected by the Secretary . . .

and:

‘‘(E) READMISSION.—The term ‘readmission’ means, in the case of an individual who is discharged from an applicable hospital, the admission of the individual to the same or another applicable hospital within a time period specified by the Secretary from the date of such discharge.

and:

‘‘(6) LIMITATIONS ON REVIEW.—There shall be no administrative or judicial review under section 1869, section 1878, or otherwise of— . . .

‘‘(C) the measures of readmissions . . .

EVALUATION OF THE PASSAGES:

1.       This section amends the Social Security Act

2.      The government has the power to determine what constitutes an “applicable [medical] condition.”

3.      The government has the power to determine who is allowed readmission into a hospital.

4.      This determination will be made by statistics: when enough people have been discharged for the same condition, an individual may be readmitted.

5.      This is government rationing, pure, simple, and straight up.

6.      There can be no judicial review of decisions made here. The Secretary is above the courts.

7.      The plan also allows the government to prohibit hospitals from expanding without federal permission: page 317-318.

2. Will the plan punish Americans who try to opt out?

What the bill says, pages 167-168, section 401, TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE COVERAGE:

‘‘(a) TAX IMPOSED.—In the case of any individual who does not meet the requirements of subsection (d) at any time during the taxable year, there is hereby imposed a tax equal to 2.5 percent of the excess of—

(1) the taxpayer’s modified adjusted gross income for the taxable year, over

(2) the amount of gross income specified in section 6012(a)(1) with respect to the taxpayer. . . .”

EVALUATION OF THE PASSAGE:

1.      This section amends the Internal Revenue Code.

2.      Anyone caught without acceptable coverage and not in the government plan will pay a special tax.

3.      The IRS will be a major enforcement mechanism for the plan.

3.                  what constitutes “acceptable” coverage?

Here is what the bill says, pages 26-30, SEC. 122, ESSENTIAL BENEFITS PACKAGE DEFINED:

(a) IN GENERAL.—In this division, the term ‘‘essential benefits package’’ means health benefits coverage, consistent with standards adopted under section 124 to ensure the provision of quality health care and financial security . . .

(b) MINIMUM SERVICES TO BE COVERED.—The items and services described in this subsection are the following:

(1) Hospitalization.

(2) Outpatient hospital and outpatient clinic services . . .

(3) Professional services of physicians and other health professionals.

(4) Such services, equipment, and supplies incident to the services of a physician’s or a health professional’s delivery of care . . .

(5) Prescription drugs.

(6) Rehabilitative and habilitative services.

(7) Mental health and substance use disorder services.

(8) Preventive services . . .

(9) Maternity care.

(10) Well baby and well child care . . .

(c) REQUIREMENTS RELATING TO COST-SHARING AND MINIMUM ACTUARIAL VALUE . . .

(3) MINIMUM ACTUARIAL VALUE.—

(A) IN GENERAL.—The cost-sharing under the essential benefits package shall be designed to provide a level of coverage that is designed to provide benefits that are actuarially equivalent to approximately 70 percent of the full actuarial value of the benefits provided under the reference benefits package described in subparagraph (B).

EVALUATION OF THE PASSAGES:

1.      The bill defines “acceptable coverage” and leaves no room for choice in this regard.

2.      By setting a minimum 70%  actuarial value of benefits, the bill makes health plans in which individuals pay for routine services, but carry insurance only for catastrophic events, (such as Health Savings Accounts) illegal.

4.                  Will the PLAN destroy private health insurance?

Here is what it requires, for businesses with payrolls greater than $400,000 per year. (The bill uses “contribution” to refer to mandatory payments to the government plan.)  Pages 149-150, SEC. 313, EMPLOYER CONTRIBUTIONS IN LIEU OF COVERAGE

(a) IN GENERAL.—A contribution is made in accordance with this section with respect to an employee if such contribution is equal to an amount equal to 8 percent of  the average wages paid by the employer during the period of enrollment (determined by taking into account all employees of the employer and in such manner as the Commissioner provides, including rules providing for the appropriate aggregation of related employers). Any such contribution—

(1) shall be paid to the Health Choices Commissioner for deposit into the Health Insurance Exchange Trust Fund, and

(2) shall not be applied against the premium of the employee under the Exchange-participating health benefits plan in which the employee is enrolled.

(The bill then includes a sliding scale of payments for business with less than $400,000 in annual payroll.)

The Bill also reserves, for the government, the power to determine an acceptable benefits plan: page 24, SEC. 115. ENSURING ADEQUACY OF PROVIDER NETWORKS.

5 (a) IN GENERAL.—A qualified health benefits plan that uses a provider network for items and services shall meet such standards respecting provider networks as the Commissioner may establish to assure the adequacy of such networks in ensuring enrollee access to such items and services and transparency in the cost-sharing differentials between in-network coverage and out-of-network coverage.

EVALUATION OF THE PASSAGES:

1.      The bill does not prohibit a person from buying private insurance.

2.      Small businesses—with say 8-10 employees—will either have to provide insurance to federal standards, or pay an 8% payroll tax. Business costs for health care are higher than this, especially considering administrative costs. Any competitive business that tries to stay with a private plan will face a payroll disadvantage against competitors who go with the government “option.”

3.      The pressure for business owners to terminate the private plans will be enormous.

4.      With employers ending plans, millions of Americans will lose their private coverage, and fewer companies will offer it.

5.      The Commissioner (meaning, always, the bureaucrats) will determine whether a particular network of physicians, hospitals and insurance is acceptable.

6.      With private insurance starved, many people enrolled in the government “option” will have no place else to go.

5.                  Does the plan TAX successful Americans more THAN OTHERS?

Here is what the bill says, pages 197-198, SEC. 441. SURCHARGE ON HIGH INCOME INDIVIDUALS

‘‘SEC. 59C. SURCHARGE ON HIGH INCOME INDIVIDUALS.

‘‘(a) GENERAL RULE.—In the case of a taxpayer other than a corporation, there is hereby imposed (in addition to any other tax imposed by this subtitle) a tax equal to—

‘‘(1) 1 percent of so much of the modified adjusted gross income of the taxpayer as exceeds $350,000 but does not exceed $500,000,

‘‘(2) 1.5 percent of so much of the modified adjusted gross income of the taxpayer as exceeds $500,000 but does not exceed $1,000,000, and

‘‘(3) 5.4 percent of so much of the modified adjusted gross income of the taxpayer as exceeds $1,000,000.

EVALUATION OF THE PASSAGE:

1.      This bill amends the Internal Revenue Code.

2.      Tax surcharges  are levied on those with the highest incomes.

3.      The plan manipulates the tax code to redistribute their wealth.

4.      Successful business owners will bear the highest cost of this plan.

6.      6.  Does THE PLAN ALLOW THE GOVERNMENT TO set FEES FOR SERVICES?

What it says, page 124, Sec. 223, PAYMENT RATES FOR ITEMS AND SERVICES:

(d) CONSTRUCTION.—Nothing in this subtitle shall be construed as limiting the Secretary’s authority to correct for payments that are excessive or deficient, taking into account the provisions of section 221(a) and the amounts paid for similar health care providers and services under other Exchange-participating health benefits plans.

(e) CONSTRUCTION.—Nothing in this subtitle shall be construed as affecting the authority of the Secretary to establish payment rates, including payments to provide for the more efficient delivery of services, such as the initiatives provided for under section 224.

EVALUATION OF THE PASSAGES:

  1. The government’s authority to set payments is basically unlimited.
  2. The official will decide what constitutes “excessive,” “deficient,” and “efficient” payments and services.

7.                  Will THE PLAN increase the power of government officials to SCRUTINIZE our private affairs?

What it says, pages 195-196, SEC. 431. DISCLOSURES TO CARRY OUT HEALTH INSURANCE EXCHANGE SUBSIDIES.

‘‘(A) IN GENERAL.—The Secretary, upon written request from the Health Choices Commissioner or the head of a State-based health insurance exchange approved for operation under section 208 of the America’s Affordable Health Choices Act of 2009, shall disclose to officers and employees of the Health Choices Administration or such State-based health insurance exchange, as the case may be, return information of any taxpayer whose income is relevant in determining any affordability credit described in subtitle C of title II of the America’s Affordable Health Choices Act of 2009. Such return information shall be limited to—

‘‘(i) taxpayer identity information with respect to such taxpayer,

‘‘(ii) the filing status of such taxpayer,

‘‘(iii) the modified adjusted gross income of such taxpayer (as defined in section 59B(e)(5)),

‘‘(iv) the number of dependents of the taxpayer,

‘‘(v) such other information as is prescribed by the Secretary by regulation as might indicate whether the taxpayer is eligible for such affordability credits (and the amount thereof), and

‘‘(vi) the taxable year with respect to which the preceding information relates or, if applicable, the fact that such information is not available.

And, page 145, section 312, EMPLOYER RESPONSIBILITY TO CONTRIBUTE TOWARDS EMPLOYEE AND DEPENDENT COVERAGE:

(3) PROVISION OF INFORMATION.—The employer provides the Health Choices Commissioner, the Secretary of Labor, the Secretary of Health and Human Services, and the Secretary of the Treasury, as applicable, with such information as the Commissioner may require to ascertain compliance with the requirements of this section.

EVALUATION OF THE PASSAGE:

1.      This section amends the Internal Revenue Code

2.      The bill opens up income tax return information to federal officials.

3.      Any stated “limits” to such information are circumvented by item (v), which allows federal officials to decide what information is needed.

4.      Employers are required to report whatever information the government says it needs to enforce the plan.

8.      8.  Does the plan automatically enroll Americans in the GOVERNMENT plan?

What it says, page 102, Section 205, Outreach and enrollment of Exchange-eligible individuals and employers in Exchange-participating health benefits plan:

(3) AUTOMATIC ENROLLMENT OF MEDICAID ELIGIBLE INDIVIDUALS INTO MEDICAID.—The Commissioner shall provide for a process under which an individual who is described in section 202(d)(3) and has not elected to enroll in an Exchange-participating health benefits plan is automatically enrolled under Medicaid.

And, page 145, section 312:

(4) AUTOENROLLMENT OF EMPLOYEES.—The employer provides for autoenrollment of the employee in accordance with subsection (c).

EVALUATION OF THE PASSAGES:

1.       Do nothing and you are in.

2.      Employers are responsible for automatically enrolling people who still work.

9.      9.  Does THE PLAN exempt federal OFFICIALS from COURT REVIEW?

What it says, page 124, Section 223, PAYMENT RATES FOR ITEMS AND SERVICES:

(f) LIMITATIONS ON REVIEW.—There shall be no administrative or judicial review of a payment rate or methodology established under this section or under section 224.

And, page 256, SEC. 1123. PAYMENTS FOR EFFICIENT AREAS.

‘‘(C) LIMITATION ON REVIEW.—There shall be no administrative or judicial review under section 1869, 1878, or otherwise, respecting—

‘‘(i) the identification of a county or other area under subparagraph (A); or

‘‘(ii) the assignment of a postal ZIP Code to a county or other area under subparagraph (B).

EVALUATION OF THE PASSAGES:

1.      Sec. 1123 amends the Social Security Act, to allow the Secretary to identify areas of the country that underutilize the government’s plan “based on per capita spending.”

2.      Parts of the plan are set above the review of the courts.

I leave you with a diagram of the health care plan that the Democrats assure us will put “government efficiency” to work for the taxpayer:

Health-Care_Democrats-plan-Charted

The Proof Of Planned Health Care Rationing And Denial Of Care To Senior Citizens

August 10, 2009

People are being told that the crowds of people who are going to town halls to angrily protest the Democrat health care plan are “un-American” as well as being swastika-carrying fascists.  It is terribly malicious and hateful demagoguery.  It is amazing that Democrats demonize tactics that they themselves are pursuing and have been pursuing for YEARS.  And then we come to learn that not only are Democrats organizing, but they are in fact literally PAYING people to show up and fight for the Democrat health care plan.  Talk about “manufactured outrage“!!!

The Speaker of the House decided to make this a debate about who is more Nazi.  I welcome that argument.  Just look at the Democrats’ own tactics!

But there is a far deeper issue at stake when we talk about “Nazism” than mere political rhetoric.  There is a very real issue of life and death at stake.

Mike Sola angrily confronted his Congressman over his fear that the Democrat system would not cover his son, who is in a wheelchair suffering from cerebral palsy.  He has since received death threats and vandalism at his home from Democrat supporters.

Should people fear for their lives under ObamaCare?  Should people like Mike Sola fear for their loved ones’ lives?

Let’s get away from the rhetoric, and reflect on the words of key Obama health care architects.

Consider a New York Post article:

Start with Dr. Ezekiel Emanuel, the brother of White House Chief of Staff Rahm Emanuel. He has already been appointed to two key positions: health-policy adviser at the Office of Management and Budget and a member of Federal Council on Comparative Effectiveness Research.

Emanuel bluntly admits that the cuts will not be pain-free. “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,” he wrote last year (Health Affairs Feb. 27, 2008).

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” (Journal of the American Medical Association, June 18, 2008).

Yes, that’s what patients want their doctors to do. But Emanuel wants doctors to look beyond the needs of their patients and consider social justice, such as whether the money could be better spent on somebody else.

Many doctors are horrified by this notion; they’ll tell you that a doctor’s job is to achieve social justice one patient at a time.

Emanuel, however, believes that “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” (Hastings Center Report, Nov.-Dec. ’96).

Translation: Don’t give much care to a grandmother with Parkinson’s or a child with cerebral palsy.

So, yeah.  Mike Sola has every right to be fearful of what will happen to his son.  Just as I have every reason to be afraid of what will happen to my parents.

When Dr. Emanuel says “communitarianism,” it is impossible for me – given the man’s writings – not to think “communist” plus “totalitarianism.”

And Obama appointed this man.  How can he distance himself from a guy who he himself appointed?  As Glenn Beck put it, “I wouldn’t let these people bring me a can of Coke, much less allow them to write a national health care plan.”

In January of THIS YEAR, Dr. Emanuel – who is a principal architect of the Democrat’s health care plan – wrote:

“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 attenuatedThe Complete Lives system justifies preference to younger people because of priority to the worst-off rather than instrumental value.”

“Attenuated” means, “to make thin; to weaken or reduce in force, intensity, effect, quantity, or value.”  Attenuated care would be reduced or lessened care.  Dare I say it, in this context it clearly means, “rationed care.”

Dr. Ezekiel Emanuel included a chart with his work (available here), which shows how he wants to allocate medical resources under a government plan:

When you’re very young, or when you start reaching your 50s and 60s, you start receiving less and less priority.

Take Cass Sunstein, Obama’s Regulatory Czar, who wrote in the Columbia Law Review in January 2004:

“I urge that the government should indeed focus on life-years rather than lives. A program that saves young people produces more welfare than one that saves old people.”

Barack Obama’s Regulatory Czar explains:

“If a program would prevent fifty deaths of people who are twenty, should it be treated the same way as a program that would prevent fifty deaths of people who are seventy? Other things being equal, a program that protects young people seems far better than one that protects old people, because it delivers greater benefits.”

Which very much jives with what Obama told a woman concerning her mother:

“At least we can let doctors know — and your mom know — that you know what, maybe this isn’t going to help. Maybe you’re better off, uhh, not having the surgery, but, uhh, taking the painkiller.”

As I wrote in my last article, “Don’t let the coffin lid hit your face on the way out, Grandma and Grandpa.”

Incredibly, that’s not all.  There are other writings that President Obama’s appointed architect Dr. Ezekiel Emanuel have said.  I thank Jeff Head for bringing his own blog citing other statements by Emanuel to my attention:

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 coincidentally) the brother of Obama’s chief of staff, Rahm Emanuel.

From: Principles of allocation of scarce medical interventions, January 31, 2009
Also see: Deadly Doctors, New York Post, June 24, 2009

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.”

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. Treating 65-year olds differently because of stereotypes or falsehoods would be ageist; treating them differently because they have already had more life-years is not.”

“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.”

“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”

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.”

From: Journal of the American Medical Association, June 18, 2008

“Doctors take the Hippocratic Oath too seriously, as an imperative to do everything for the patient regardless of the cost or effects on others”

From: Health Affairs Feb. 27, 2008

“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,”

From: What Are the Potential Cost Savings from Legalizing Physician-Assisted Suicide? New England Journal of Medicine, July 1998

(These quotes add new context to the “End-of-Life” Counseling sessions required every 5 years for all seniors over 65 in Obama Care.)

“There is a widespread perception that the United States spends an excessive amount on high-technology health care for dying patients. Many commentators note that 27 to 30 percent of the Medicare budget is spent on the 5 percent of Medicare patients who die each year. They also note that the expenditures increase exponentially as death approaches, so that the last month of life accounts for 30 to 40 percent of the medical care expenditures in the last year of life. To many, savings from reduced use of expensive technological interventions at the end of life are both necessary and desirable.”

“Many have linked the effort to reduce the high cost of death with the legalization of physician-assisted suicide. One commentator observed: “Managed care and managed death [through physician-assisted suicide] are less expensive than fee-for-service care and extended survival. Less expensive is better.” Some of the amicus curiae briefs submitted to the Supreme Court expressed the same logic: “Decreasing availability and increasing expense in health care and the uncertain impact of managed care may intensify pressure to choose physician-assisted suicide” and “the cost effectiveness of hastened death is as undeniable as gravity. The earlier a patient dies, the less costly is his or her care.”

“Although the cost savings to the United States and most managed-care plans are likely to be small, it is important to recognize that the savings to specific terminally ill patients and their families could be substantial. For many patients and their families, especially but not exclusively those without health insurance, the costs of terminal care may result in large out-of-pocket expenses. Nevertheless, as compared with the average American, the terminally ill are less likely to be uninsured, since more than two thirds of decedents are Medicare beneficiaries over 65 years of age. The poorest dying patients are likely to be Medicaid beneficiaries. Extrapolating from the Medicare data, one can calculate that a typical uninsured patient, by dying one month earlier by means of physician-assisted suicide, might save his or her family $10,000 in health care costs, having already spent as much as $20,000 in that year.”

“Drawing on data from the Netherlands on the use of euthanasia and physician-assisted suicide and on available U.S. data on costs at the end of life, this analysis explores the degree to which the legalization of physician-assisted suicide might reduce health care costs. The most reasonable estimate is a savings of $627 million, less than 0.07 percent of total health care expenditures.”

From: Where Civic Republicanism and Deliberative Democracy Meet, Hastings Center Report, Nov.-Dec.1996

“This civic republican or deliberative democratic conception of the good provides both procedural and substantive insights for developing a just allocation of health care resources. Procedurally, it suggests the need for public forums to deliberate about which health services should be considered basic and should be socially guaranteed. Substantively, it suggests services that promote the continuation of the polity-those that ensure healthy future generations, ensure development of practical reasoning skills, and ensure full and active participation by citizens in public deliberations-are to be socially guaranteed as basic. Conversely, 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.

[….]

Do not fall for the platitudes and the revisionism or assurances of the people pushing 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 philosophies.

The president, in a less-guarded moment before running for the Presidency outlined his true goals with respect to Health Care, and now he has the congress and the advisers 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 see “angry mobs” of Democrat health care plan opponents, realize that they aren’t angry because of “disinformation” or “fishy” emails; they are angry because of what they KNOW.  They are angry because of what Obama’s own architects have STATED.

Some of what we have seen here has far more in common with Dr. Mengele than with medicine.

The Nazis had a term, Lebensunwertes Leben, that meant “a life unworthy to be lived.”  The Nazi agenda was not about goose-stepping soldiers; it was about a complex of ideas that de-valued individual human life and exalted the power of the state to control the lives of the people.  And those who were deemed unable to produce sufficient societal benefit were deemed unworthy of life.  And the men who created this system did not regard themselves as evil men; they regarded themselves as doing what was necessary to implement their vision for their country.

Dr. Ezekiel Emanuel would never agree that he is a Nazi.  He would point out that he is Jewish; how on earth could he be a Nazi?  But his plan comes right out of the heart of Nazi ideology; it is Lebensunwertes Leben rearing its ugly head all over again.  Does he want 6 million Jews to die?  Of course he doesn’t.  But my question is, “Does he not want 60 million senior citizens to die?” And the only difference is that he would prefer to kill them by neglect due to rationed medical care, or due to a more humane but every bit as evil death by suicide.

The Nazis’ “final solution” was to eliminate an alleged crisis by eliminating the Jews; Dr. Ezekiel Emanuel’s “final solution” is to eliminate an alleged crisis by eliminating unhealthy children and senior citizens.

And, again, if Barack Obama doesn’t want this vision himself, then why on earth did he appoint Dr. Ezekiel Emanuel – who has been arguing for this “Complete Lives program” for YEARS, and who has an article urging for it as late as January of THIS YEAR – to write large swaths of the health care bill?  And any of Obama’s protestations to the contrary only fly in the face of what he himself has said and what he himself has done.  Don’t trust him.

A video montage explains precisely how the Democrats have organized behind the scenes to use the currently-proposed plan to necessarily lead into the kind of system that will produce the kind of “care” outlined by Dr. Ezekiel Emanuel above.

Dr. Ezekiel Emanuel and Cass Sunstein tell us what government health care will ultimately look like; and the video explains in Democrat health care strategists’ own words how they propose to get us to that point.

Watch it – and then join the fight against this monstrosity.