FREEDOM EDEN_ Ezekiel Emanuel_ COMPLETE LIVES SYSTEM

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					FREEDOM EDEN: Ezekiel Emanuel: COMPLETE LIVES SYSTEM                                                               2/14/10 9:51 AM



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                                               FREEDOM EDEN
               "STAND WITH ANYBODY THAT STANDS RIGHT. STAND WITH HIM WHILE HE IS RIGHT AND PART
                               WITH HIM WHEN HE GOES WRONG." --ABRAHAM LINCOLN




       WEDNESDAY, AUGUST 12, 2009

       Ezekiel Emanuel: COMPLETE LIVES SYSTEM

       ObamaCare means rationing of health care services.


       Obama dodges and weaves on that, trying to avoid admitting
       that care will indeed be rationed.


       He, of course, doesn't want the public to understand what
       government-run health care would really entail.


       At his alleged town hall meeting in Portsmouth, New Hampshire
       yesterday, (actually, it was more like a campaign rally), Obama
       extolled the wisdom of "expert health panels" and their role in
       government-run health care.


           OBAMA: In terms of these expert health panels -- well, this
           goes to the point about "death panels" -- that's what folks are
           calling them. The idea is actually pretty straightforward, which
           is if we've got a panel of experts, health experts, doctors, who
           can provide guidelines to doctors and patients about what
           procedures work best in what situations, and find ways to
           reduce, for example, the number of tests that people take --
           these aren't going to be forced on people, but they will help
           guide how the delivery system works so that you are getting               C-SPAN Challenges Congress to
           higher-quality care.                                                       Open Health Care Talks to TV
                                                                                               Coverage

       Obama touts the judgment of these "expert health panels."                     "I will tell you that a recent
                                                                                     independent watchdog group took a
       One such "health expert" is Dr. Ezekiel Emanuel, a top adviser                look and said this has been the most
       to Obama.                                                                     transparent government, most
                                                                                     transparent administration, that we
       Ezekiel Emanuel has a system for determining how to allocate                  have seen in a very, very long time,
       health services. (Allocating, in effect, is rationing.)                       perhaps in the modern era."

                                                                                     --BARACK OBAMA
       Emanuel promotes the "Complete Lives System" as a way to
       decide who gets treatment and who is denied.
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       decide who gets treatment and who is denied.


       From The Lancet, Volume 373, Issue 9661, Pages 423 - 431, 31
       January 2009, Emanuel writes:

           The complete lives system
           Because none of the currently used systems satisfy all ethical            "A single payer health care plan, a
           requirements for just allocation, we propose an alternative: the          universal health care plan. And that’s
           complete lives system. This system incorporates five
                                                                                     what I’d like to see. But as all of you
           principles: youngest-first, prognosis, save the most lives,
           lottery, and instrumental value. As such, it prioritises younger          know, we may not get there
           people who have not yet lived a complete life and will be                 immediately. Because first we have
           unlikely to do so without aid. Many thinkers have accepted                to take back the White House, we
           complete lives as the appropriate focus of distributive justice:          have to take back the Senate, and
           “individual human lives, rather than individual experiences,
                                                                                     we have to take back the House."
           [are] the units over which any distributive principle should
           operate.” Although there are important differences between
                                                                                     --BARACK OBAMA
           these thinkers, they share a core commitment to consider
           entire lives rather than events or episodes, which is also the
                                                                                     "I have not said that I was a single
           defining feature of the complete lives system.
                                                                                     payer supporter...."
           Consideration of the importance of complete lives also
           supports modifying the youngest-first principle by prioritising           --BARACK OBAMA
           adolescents and young adults over infants. 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,                       "We are going to have to, if you're
           adolescence brings with it a developed personality capable of             very old, we're not going to give you
           forming and valuing long-term plans whose fulfilment requires             all that technology and all those
           a complete life. As the legal philosopher Ronald Dworkin                  drugs for the last couple of years of
           argues, “It is terrible when an infant dies, but worse, most
                                                                                     your life to keep you maybe going for
           people think, when a three-year-old child dies and worse still
           when an adolescent does”; this argument is supported by                   another couple of months. It's too
           empirical surveys. Importantly, the prioritisation of adolescents         expensive, so we're going to let you
           and young adults considers the social and personal investment             die."
           that people are morally entitled to have received at a particular
           age, rather than accepting the results of an unjust status quo.           --ROBERT REICH, truth teller
           Consequently, poor adolescents should be treated the same
           as wealthy ones, even though they may have received less                         ----------------------------
           investment owing to social injustice.
                                                                                        DR. EZEKIEL J. EMANUEL:
           The complete lives system also considers prognosis, since its             CUTTING COSTS, COSTING LIVES
           aim is to achieve complete lives. A young person with a poor
           prognosis has had few life-years but lacks the potential to live          "[Health services should not be
           a complete life. Considering prognosis forestalls the concern             guaranteed to] individuals who are
           that disproportionately large amounts of resources will be
                                                                                     irreversibly prevented from being or
           directed to young people with poor prognoses. When the
           worst-off can benefit only slightly while better-off people could         becoming participating citizens. An
           benefit greatly, allocating to the better-off is often justifiable.       obvious example is not guaranteeing
           Some small benefits, such as a few weeks of life, might also              health services to patients with
           be intrinsically insignificant when compared with large benefits.         dementia."

           Saving the most lives is also included in this system because             --EZEKIEL EMANUEL
           enabling more people to live complete lives is better than
           enabling fewer. In a public health emergency, instrumental
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           enabling fewer. In a public health emergency, instrumental                Obama's Health Rationer-in-Chief
           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             BAUCUS BLUDGEONS HUMANA:
           seen as beyond saving. Thus, the complete lives system is
                                                                                      A Preview of Coming Political
           complete in another way: it incorporates each morally relevant
           simple principle.                                                             Health Care Attractions

           When implemented, the complete lives system produces a                     SHOCK: INSIDE THE HEALTH
           priority curve on which individuals aged between roughly 15                        CARE BILL
           and 40 years get the most substantial chance, whereas the
           youngest and oldest people get chances that are attenuated. It             SHOCK: INSIDE THE HEALTH
           therefore superficially resembles the proposal made by DALY                   CARE BILL, PART 2
           advocates; however, the complete lives system justifies
           preference to younger people because of priority to the worst-            AARP: "DE FACTO BRANCH OF
           off rather than instrumental value. Additionally, the complete               WHITE HOUSE MEDIA
           lives system assumes that, although life-years are equally
                                                                                             OPERATION"
           valuable to all, justice requires the fair distribution of them.
           Conversely, DALY allocation treats life-years given to elderly
                                                                                              READ H.R. 3200
           or disabled people as objectively less valuable.
                                                                                     ABORTION AND HEALTH CARE
           Finally, the complete lives system is least vulnerable to
           corruption. Age can be established quickly and accurately from                      BILL
           identity documents. Prognosis allocation encourages
           physicians to improve patients' health, unlike the perverse
           incentives to sicken patients or misrepresent health that the
           sickest-first allocation creates.

           Objections
           We consider several important objections to the complete lives
           system.
           The complete lives system discriminates against older people.
                                                                                      Obamacare: You Will Lose Your
           Age-based allocation is ageism. Unlike allocation by sex or
           race, allocation by age is not invidious discrimination; every            Current Insurance. Period. End of
           person lives through different life stages rather than being a                          Story.
           single age. Even if 25-year-olds receive priority over 65-year-
           olds, everyone who is 65 years now was previously 25 years.                  Right there on Page 16 is a
           Treating 65-year-olds differently because of stereotypes or                  provision making individual
           falsehoods would be ageist; treating them differently because             private medical insurance illegal.
           they have already had more life-years is not.
                                                                                     Mike Rogers' Opening Statement,
           Age, like income, is a “non-medical criterion” inappropriate for
                                                                                           Health Care Reform
           allocation of medical resources. In contrast to income, a
           complete life is a health outcome. Long-term survival and life
           expectancy at birth are key health-care outcome variables.
           Delaying the age at onset of a disease is desirable.

           The complete lives system is insensitive to international
           differences in typical lifespan. Although broad consensus
           favours adolescents over very young infants, and young adults
           over the very elderly people, implementation can reasonably               OBAMA'S PLAN: RATIONED CARE
           differ between, even within, nation-states. Some people
           believe that a complete life is a universal limit founded in               BEWARE OBAMACARE'S FINE
           natural human capacities, which everyone should accept even                         PRINT
           without scarcity. By contrast, the complete lives system
           requires only that citizens see a complete life, however
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           requires only that citizens see a complete life, however
           defined, as an important good, and accept that fairness gives
           those short of a complete life stronger claims to scarce life-
           saving resources.

           Principles must be ordered lexically: less important principles
           should come into play only when more important ones are
           fulfilled. Rawls himself agreed that lexical priority was
           inappropriate when distributing specific resources in society,
           though appropriate for ordering the principles of basic social
           justice that shape the distribution of basic rights, opportunities,
                                                                                     "And I can make a firm pledge: under
           and income.1 As an alternative, balancing priority to the worst-
           off against maximising benefits has won wide support in                   my plan, no family making less than
           discussions of allocative local justice. As Amartya Sen argues,           $250,000 a year will see any form of
           justice “does not specify how much more is to be given to the             tax increase - not your income tax,
           deprived person, but merely that he should receive more”.                 not your payroll tax, not your capital
                                                                                     gains taxes, not any of your taxes."
           Accepting the complete lives system for health care as a
           whole would be premature. We must first reduce waste and
                                                                                     --BARACK OBAMA, firm pledge-
           increase spending. The complete lives system explicitly rejects
           waste and corruption, such as multiple listing for                        breaker
           transplantation. Although it may be applicable more generally,
           the complete lives system has been developed to justly
           allocate persistently scarce life-saving interventions. Hearts for
           transplant and influenza vaccines, unlike money, cannot be
           replaced or diverted to non-health goals; denying a heart to
           one person makes it available to another. Ultimately, the
           complete lives system does not create “classes of
           Untermenschen whose lives and well being are deemed not
                                                                                     "F---ing retarded."
           worth spending money on”, but rather empowers us to decide
           fairly whom to save when genuine scarcity makes saving
                                                                                     "[Republicans] can go f---
           everyone impossible.
                                                                                     themselves!"
           Legitimacy
                                                                                     --RAHM EMANUEL, Barack
           As well as recognising morally relevant values, an allocation
           system must be legitimate. Legitimacy requires that people                Obama's Chief of Staff
           see the allocation system as just and accept actual allocations
           as fair. Consequently, allocation systems must be publicly
           understandable, accessible, and subject to public discussion
           and revision. They must also resist corruption, since easy
           corruptibility undermines the public trust on which legitimacy
           depends. Some systems, like the UNOS points systems or
           QALY systems, may fail this test, because they are difficult to
           understand, easily corrupted, or closed to public revision.               "The first thing I'd do as president is
           Systems that intentionally conceal their allocative principles to         sign the Freedom of Choice Act."
           avoid public complaints might also fail the test.
                                                                                     "I am going to teach [my daughters]
           Although procedural fairness is necessary for legitimacy, it is           first about values and morals, but if
           unable to ensure the justice of allocation decisions on its own.          they make a mistake, I don't want
           Although fair procedures are important, substantive, morally
                                                                                     them punished with a baby."
           relevant values and principles are indispensable for just
           allocation.
                                                                                     --BARACK OBAMA

           Conclusion                                                                       ----------------------------
           Ultimately, none of the eight simple principles recognise all
           morally relevant values, and some recognise irrelevant values.

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           morally relevant values, and some recognise irrelevant values.
           QALY and DALY multiprinciple systems neglect the importance
           of fair distribution. UNOS points systems attempt to address
           distributive justice, but recognise morally irrelevant values and
           are vulnerable to corruption. By contrast, the complete lives
           system combines four morally relevant principles: youngest-
           first, prognosis, lottery, and saving the most lives. In pandemic
           situations, it also allocates scarce interventions to people
           instrumental in realising these four principles. Importantly, it is
           not an algorithm, but a framework that expresses widely
           affirmed values: priority to the worst-off, maximising benefits,
           and treating people equally. To achieve a just allocation of
           scarce medical interventions, society must embrace the
           challenge of implementing a coherent multiprinciple framework
           rather than relying on simple principles or retreating to the
           status quo.                                                                             IN MEMORIAM


       Age-based priority for receiving scarce medical interventions under the complete   HOME
       lives system                                                                       ABOUT ME
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                                                                                          LABELS
       Emanuel, WHITE HOUSE HEALTH CARE POLICY ADVISER, has
       some very scary ideas about who's fit to live and who's life has
                                                                                           Select a label
       been full enough.


       Look at the chart. Determining whether to permit medical
                                                                                                    ELECTION 2010
       intervention on a curve?


       Should older Americans be concerned about this? I think so.
       The very young are also targeted.


       At his event in Portsmouth yesterday, Obama tried to convince
       Americans that rationing won't occur under his single payer
       plan.


       But we've seen how socialized medicine works. It doesn't raise
       the standards of care for everyone. It creates scarcity. Quality
       care? Forget it.
                                                                                                 NEWS AND POLITICS

       Obama mocked opponents who point out that a government-run                                           Drudge
       health care system bent on trimming expenses will mean cutting
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       health care system bent on trimming expenses will mean cutting                            Breitbart
       services.                                                                              Big Hollywood
                                                                                             Big Government
           OBAMA: Let me just be specific about some things that I've                        National Review
           been hearing lately that we just need to dispose of here. The
                                                                                            Wall Street Journal
           rumor that's been circulating a lot lately is this idea that
           somehow the House of Representatives voted for "death                           Washington Examiner
           panels" that will basically pull the plug on grandma because                     Washington Times
           we've decided that we don't -- it's too expensive to let her live                  WorldNetDaily
           anymore. And there are various -- there are some variations
           on this theme.                                                                 ----------------------------


       The Complete Lives System does "pull the plug on grandma."


       Emanuel is an "expert" Obama admires.


       As Obama said in Portsmouth, "[W]e've got a panel of experts,
                                                                                               I Remember
       health experts, doctors, who can provide guidelines to doctors
                                                                                             Ramzi A. Doany
       and patients about what procedures work best in what
                                                                                            World Trade Center
       situations."


       These same experts also will provide guidelines to doctors
       about what procedures will not be allowed.


       Remember what Obama said on ABC during his health care
       infomercial in response to this question from Jane Sturm:




                                                                                     The story TMJ4 doesn't want you
                                                                                          to see-- DIRTY DINING:
                                                                                         BROOKFIELD PERKINS

                                                                                       TMJ4 SPONSOR-- PERKINS,
                                                                                        "NEWS" CORRUPTED BY
                                                                                           ADVERTISING $$$



                                                                                      THE WALL OF SHAME


           OBAMA: We're not going to solve every difficult problem in
           terms of end-of-life care. A lot of that is going to have to be we
           as a culture and as a society starting to make better decisions
           within our own families and for ourselves.

           But what we can do is make sure that at least some of the
           waste that exists in the system, that's not making anybody's
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           waste that exists in the system, that's not making anybody's              "I'm very optimistic about -- about
           mom better, that is loading up on additional tests or additional
                                                                                     Iraq, and this can be one of the great
           drugs, that the evidence shows is not necessarily going to
           improve care, that at least we can let doctors know, and your             achievements of this administration.
           mom know, that you know what, maybe this isn't going to help.             You're going to see 90,000 American
           Maybe you're better off not having the surgery but taking the             troops come marching home by the,
           painkiller.                                                               uh, end of the summer. You're going
                                                                                     to see a stable government in Iraq
                                                                                     that is actually moving toward a
       If the "expert health panel" deems certain treatments not cost
                                                                                     representative government."
       effective, the government will be pulling the plug on "grandma."
       _________________                                                             --JOE BIDEN

       Related post:


       Ezekiel Emanuel: 'Thinking has Evolved'

       POSTED BY M AR Y AT 8 / 1 2 / 2 0 0 9 1 2 : 2 2 : 0 0 AM

       L ABEL S: BAR AC K OBAM A , EZ EKI EL EM AN U EL , H EAL TH C AR E

                                                                                     "If you want to get serious about it,
                                                                                     these guys claiming that the snow in
       11 COMMENTS:                                                                  Washington disproves climate
                                                                                     change are almost unpatriotic. It's
                 Anonymous said...                                                   really, they're denying science. So
                 What an unfair, misleading post. Dr. Emmanuel's article was         they're very happy to have the
                 limited to the special case where transplant organs or              weather forecast be accurate within
                 lifesaving vaccines are in short supply and there are more          a few hours, but they're displeased
                 eligible recipients than there are organs or vaccines. Why did      or un-enchanted by predictions of the
                 you deliberately choose not to mention that? You also neglect       world getting warmer. It's really, it
                 to note that severe, unfair, arbitrary rationing occurs every       shakes me up."

                 single day in the American health care system because               --BILL NYE
                 millions of American families do not have health insurance.
                 Lose your job, and you lose your access to medical care.
                 How can you possibly defend the justice of such a system?
                 How could it possibly be more just than the current reform
                 proposals?
                 7:49 PM, AUGUST 16, 2009


                 Anonymous said...                                                   "Obama's critics keep blasting him
                                                                                     for Chicago-style politics. So, fine.
                 good thought annonymous. I do not agree with most liberal
                                                                                     Channel your inner Al Capone and
                 thinking. However, that is something worht chewing on for a         go gangsta against your foes. Let
                 while.                                                              'em know that if they aren't with you,
                 8:50 PM, AUGUST 17, 2009                                            they are against you, and will pay the
                                                                                     price."

                 Anonymous said...                                                   --ROLAND MARTIN

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                 Wow - just crickets here - no one cares to defend the original
                 post.
                 9:06 PM, AUGUST 17, 2009


                 Mary said...
                 I've written nothing unfair or misleading. I provide all links and
                 sources.                                                             "TeaBagger crowd: polite. The
                                                                                      nutjobs who were bussed to Town
                 Read the article. Look at Emanuel's priority curve.                  Halls didn't get their way paid to
                                                                                      Sarah [Palin]'s $100,000 speech."
                 I'm not on defense.
                                                                                      --ROGER EBERT
                 12:06 AM, AUGUST 18, 2009


                 Anonymous said...
                 Mary - you certainly are on defense. Dr. Emanuel's article
                 was expressly limited to the special case of scarce medical
                 interventions - such as a limited supply of transplant organs
                 or new vaccines where there there are more qualified
                 recipients than there are donors. It says so in the very first       "I was trying to think about who
                 sentence of the article. (Anyone who doubts me can easily            [Obama] was tonight. It's interesting:
                 find the article on the net.) You deliberately ignored Dr.           he is post-racial, by all appearances.
                 Emanuel's limiting context. You chose to leave out of your           I forgot he was black tonight for an
                 post the fact that his article was limited to organ donations        hour. You know, he's gone a long
                                                                                      way to become a leader of this
                 and scarce vaccines. In so doing you mislead Americans
                                                                                      country, and past so much history, in
                 seeking clarity about an important topic of current debate.
                                                                                      just a year or two. I mean, it's
                 You also libeled the reputation of a distinguished oncologist.
                                                                                      something we don't even think about.
                 In all fairness, don't you think you should reexamine your
                                                                                      I was watching, I said, wait a minute,
                 views and apologize to Dr. Emanuel? And, by the way, if you
                                                                                      he's an African American guy in front
                 have a better, more ethically justifiable system of dealing with
                                                                                      of a bunch of other white people."
                 the allocation problem that Dr. Emanuel has so manfully
                 grappled with, I would be delighted to hear it. So would he.         --CHRIS MATTHEWS
                 5:38 AM, AUGUST 18, 2009


                 Mary said...

                 I've written nothing unfair or misleading. I provide all links and
                 sources.


                 Read the article. Look at Emanuel's priority curve.
                                                                                      "I wanted to apologize for calling
                                                                                      Senator-elect Scott Brown an
                 I'm not on defense.
                                                                                      'irresponsible, homophobic, racist,
                 7:52 AM, AUGUST 18, 2009                                             reactionary, ex-nude model, tea-
                                                                                      bagging, supporter of violence
                                                                                      against women and against
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                 MrLeon said...                                                       against women and against
                                                                                      politicians with whom he disagrees.'
                 I'm not so sure Mary is off the mark.
                                                                                      I'm sorry, I left out the word 'sexist.'"

                 Granted Dr. Emmanuel's original article dealt with transplants       --KEITH "Reagan's dead and he
                 and epidemics, but he has written quite extensively on the           was a lousy President"
                 broader topic of "overutilization of health care". (e.g. JAMA,       OLBERMANN
                 June 18, 2008)


                 Much of his writing appears to be well-researched,
                 "constructive", and does nothing to avoid the fact: Health care
                 will need to be provided with consideration for the cost -- and
                 benefit to patient AND society, in his words: "greater health
                 care value". In a really simple, honest word: rationed. Not
                                                                                      "Now wait a minute. I'll stop and you
                 rationed in the sense of rationing a quart of water in a life
                                                                                      (Michele Bachmann) can talk. I'll
                 boat at sea, but rationed in the sense of providing ONLY
                                                                                      treat you like a lady. So act like
                 necessary, beneficial, [cost-effective] care to those who
                                                                                      one.... Now wait a minute, don't
                 [need] it.
                                                                                      interrupt me. I didn't interrupt you.
                                                                                      Act like a lady."
                 Realistically, we need to define the meaning of "cost-
                 effective" and "need". That's where the debate comes. Some           --ARLEN SPECTER
                 say a mother "needs" an abortion. Some say a person should
                 stay on a ventilator as long as there is any possible hope of
                 recovery. Some say their loved-one "needs" the new high-
                 cost experimental treatment as their last hope of survival.
                 Who is right? Unfortunately, a national plan would create the
                 scenario that (in any one person's view) either the Democrats
                 or Republicans are "right" (at least until the next election
                 cycle). Gee, that just doesn't sound like the United States of       "Martha Coakley is running to fill the
                                                                                      rest of Ted Kennedy's term, and her
                 America to me -- at least as it would relate to healthcare.
                                                                                      opponent is a far-right tea-bagger
                                                                                      Republican."
                 Insurance companies and the Medicare program are always
                 trying to figure out how to spend less. If we're all forced          --CHUCK SCHUMER
                 (eventually) into one National plan, "rationing" -- or whatever
                 you'd like to call it -- is simply inevitable. And you should also   "I tell you what, if I lived in
                 investigate some writings on "personal lifestyle choices" as         Massachusetts, I'd try to vote ten
                                                                                      times. I don't know if they'd let me or
                 they relate to health care costs. Don't be surprised when
                                                                                      not, but I'd try to. Yeah, that's right,
                 someone starts questioning yours!
                                                                                      I'd cheat to keep these bastards out.
                                                                                      I would. 'Cause that's exactly what
                 Also -- I just have to add that the oft-trumpeted talking point:
                                                                                      they are."
                 "Lower the cost of health care" is either: a) indicative of
                 sweeping and drastic changes to be made in the care                  --ED SCHULTZ
                 provided or the payment to physicians or hospitals for it; or b)
                                                                                      "We also see how revved up the tea
                 based on someone who is hopelessly uninformed or trying to
                                                                                      baggers are at the thought of
                 manipulate the audience.
                                                                                      hijacking health care reform and

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                                                                                      hijacking health care reform and
                                                                                      every chance we have at making
                 Please keep the debate civil and investigate thoroughly what
                                                                                      progress in Washington."
                 is REALLY at stake. Make sure you really want what is being
                 considered. It will change all of our lives significantly.           --JOHN KERRY


                 I'm writing from 25 years' experience in the managed
                 healthcare financial analysis and provider contracting.
                 8:56 AM, SEPTEMBER 04, 2009


                 David said...
                                                                                      "[Obama is] light-skinned [and] with
                 My mother, age 87, suffers from dementia. I drive 180 miles          no Negro dialect, unless he wanted
                 to visit her for an hour each week. I would not {"pull the           to have one."
                 plug") on her, but she wisely provided written instructions
                 limiting the intervention of medical procedures which might be       --HARRY REID
                 used to prolong her life without significant benefit to the
                 quality of her life. That was her decision well before she
                 began to suffer from dementia and it is my decision for
                 myself. She was then, in her loving way, wanting to pass on
                 her limited estate to her children and grandchildren without
                 unreasonably diminishing it for no real (in her opinion) benefit
                 to anyone including herself. It could be termed rationed care, I
                 suppose. Is that choice not rational, loving, and inspiring? Is it   "A few years ago, this guy (Obama)
                 wrong for our society to consider a generalization from my           would have been getting us coffee."
                 mother's choice:? I think Mary is misleading herself if she
                                                                                      --BILL CLINTON
                 thinks otherwise.
                 10:38 AM, SEPTEMBER 06, 2009


                 pat said...

                 There's nothing unfair here. Emanuel is merely applying his
                 personal philosophy to this specific problem. Complete Lives
                 is a philosophy that would be applied to all examples.
                                                                                      "[T]he system has worked really
                                                                                      very, very smoothly over the course
                 I'm not sure if you're the same Anon all the time, but I
                                                                                      of the past several days."
                 wholeheartedly doubt that Dr Emanuel would like to hear
                 alternative ideas. He is neck-deep in "complete lives."                    ----------------------------
                 1:02 PM, SEPTEMBER 10, 2009
                                                                                      "Our system did not work in this
                                                                                      instance. No one is happy or
                 Stuck in Ohio said...                                                satisfied with that."
                 David, your mother's choice is completely valid and entirely
                                                                                      --JANET NAPOLITANO
                 her right. The key word there, though, was "choice." It is not
                 the position of "society," the government, or a panel of select
                 "experts" to "generalize" that choice to any other person or
                 family. As MrLeon pointed out, there is no way we as a
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                 family. As MrLeon pointed out, there is no way we as a
                 broader culture can--or should--decide those types of things
                 collectively. So, Anonymous (good job on that, by the way),
                 here's your requested "better, more ethically justifiable
                 system": let people decide for themselves. Period.                          "It's not $100 million. It's $300
                                                                                             million, and I'm proud of it and will
                 To throw around accusations of libel and demand an apology                  keep fighting for it."

                 is absurd and demeaning. We live in a country where one is                         ----------------------------
                 allowed to express dissent and criticism freely...for now at
                 least.                                                                      "The fact of the matter is, and I know
                                                                                             people don't believe this, but I can't
                 12:18 PM, SEPTEMBER 24, 2009
                                                                                             be bought."

                 Anonymous said...                                                           (Can't be bought? Ho, ho, ho.)

                 N......A.......Z.......I                                                    --MARY LANDRIEU
                 How soon we forget.
                                                                                             "I want to say, but it's complicated,
                 8:30 AM, DECEMBER 17, 2009
                                                                                             but I want to say categorically yes. I
                                                                                             agree with you. We should not be
       Post a Comment                                                                        using health care reform to provide
       LINKS TO THIS POST                                                                    government access to abortion. I
                                                                                             hear what you say. And I would hope
         Create a Link                                                                       that people from whatever party won't
       Newer Post                              Home                             Older Post   try and go down that road and put
                                                                                             into a bill in the dead of night and
       Subscribe to: Post Comments (Atom)                                                    then, lo and behold, wake up the
                                                                                             next morning and something that
                                                                                             shouldn't have happened did happen.
                                                                                             We should not do that."

                                                                                             --HERB KOHL, Liar




                                                                                             "I was responsible for the 9/11
                                                                                             operation from A to Z."

                                                                                             --KHALID SHEIKH MOHAMMED

                                                                                             Obama's Attorney General Eric
                                                                                             Holder welcomes you to New York!


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                                                                                     "Allahu Akbar!"

                                                                                     --MAJOR NIDAL MALIK HASAN




                                                                                     "Physically and from a talent level,
                                                                                     this is the best team (the Vikings)
                                                                                     I've ever been on."

                                                                                     --BRETT FAVRE

                                                                                     "I didn't realize I had written a
                                                                                     column defending Roman Polanski
                                                                                     and minimized his crime - are you
                                                                                     sure it was me? I mean, I? There is,
                                                                                     apparently, more to this crime than it
                                                                                     would seem, and it may sound like a
                                                                                     hollow defense, but in Hollywood I
                                                                                     am not sure a 13-year-old is really a
                                                                                     13-year-old."

                                                                                     --TOM SHALES




                                                                                     [The UN podium] doesn't smell of
                                                                                     sulfur. It's gone. No, it smells of
                                                                                     something else. It smells of hope."

                                                                                     --HUGO CHAVEZ

                                                                                     "I think an overwhelming portion of
                                                                                     the intensely demonstrated animosity
                                                                                     toward President Barack Obama is
                                                                                     based on the fact that he is a black
                                                                                     man, that he's African-American."

                                                                                     --JIMMY CARTER




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                                                                                     "Joe Wilson yelled 'You lie!' at a
                                                                                     president who didn't. But, fair or not,
                                                                                     what I heard was an unspoken word
                                                                                     in the air: You lie, boy!"

                                                                                     --MAUREEN DOWD




                                                                                     "Do me a favor. Could you say
                                                                                     'senator' instead of 'ma'am'? It's just
                                                                                     a thing. I worked so hard to get that
                                                                                     title. So I'd appreciate it."

                                                                                     --BARBARA BOXER




                                                                                     "One awkward moment for Sarah
                                                                                     Palin at the Yankee game... During
                                                                                     the 7th inning, her daughter was
                                                                                     knocked up by Alex Rodriguez."

                                                                                     --DAVID LETTERMAN

                                                                                     "I would hope that a wise Latina
                                                                                     woman with the richness of her
                                                                                     experiences would more often than
                                                                                     not reach a better conclusion than a
                                                                                     white male who hasn’t lived that life."

                                                                                     --SONIA SOTOMAYOR



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                                                                                     "We all considered sexual abuse of
                                                                                     minors as a moral evil, but had no
                                                                                     understanding of its criminal nature."

                                                                                     --REMBERT WEAKLAND,
                                                                                     Archbishop of Milwaukee 1977- 2002




                                                                                     "Yes, [I am accusing the CIA of]
                                                                                     misleading the Congress of the
                                                                                     United States, misleading the
                                                                                     Congress of the United States. I am."

                                                                                     --NANCY PELOSI




                                                                                     "You know, you might want to look
                                                                                     into this, [President Obama], because
                                                                                     I think maybe Rush Limbaugh was
                                                                                     the 20th hijacker, but he was so
                                                                                     strung out on Oxycontin he missed
                                                                                     his flight."

                                                                                     "Rush Limbaugh -- 'I hope the
                                                                                     country the fails.' I hope his kidneys
                                                                                     fail."

                                                                                            ----------------------------

                                                                                     "[Obama] told me I did a great job.
                                                                                     The first lady said the same thing. I
                                                                                     got a 'well done' from the president,
                                                                                     I'm on cloud nine."

                                                                                     --WANDA SYKES




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                                                                                     "I think what Rush does as an
                                                                                     entertainer diminishes the party and
                                                                                     intrudes or inserts into our public life
                                                                                     a kind of nastiness that we would be
                                                                                     better to do without."

                                                                                     "Americans are looking for more
                                                                                     government in their life, not less."

                                                                                     --COLIN POWELL




                                                                                     "[Tea Party goers are] just a bunch
                                                                                     of wimpy, whiny, weasels who don't
                                                                                     love their country."

                                                                                     --PAUL BEGALA

                                                                                     "[A]t a certain point I don't think we'll
                                                                                     be so consumed with being the pre-
                                                                                     eminent super-power and, you know,
                                                                                     driven by sort of militarism and this
                                                                                     need to export, you know, democracy
                                                                                     and so forth."

                                                                                     --RON HOWARD




                                                                                     "I wouldn't want [gay marriage] to go
                                                                                     to the United States Supreme Court
                                                                                     now because that homophobe
                                                                                     Antonin Scalia has too many votes
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                                                                                     Antonin Scalia has too many votes
                                                                                     on this current court."

                                                                                     --BARNEY FRANK




                                                                                     "Nice to see a little diversity for a
                                                                                     change. We have an African-
                                                                                     American president, a female
                                                                                     Speaker of the House, and there's
                                                                                     the white guy, Bob."

                                                                                     --KATIE COURIC




                                                                                     "Going forward, my mind will be
                                                                                     open to every solution -- except one.
                                                                                     We should not -- we must not -- and
                                                                                     I will not -- raise taxes."

                                                                                     --JIM DOYLE, Liar

                                                                                     "He's a terrorist. Rush Limbaugh is a
                                                                                     terrorist."

                                                                                     --JOY BEHAR




                                                                                     "You know, I just want to say to her
                                                                                     (Sarah Palin), just very quickly...F---
                                                                                     you."

                                                                                     --JON STEWART




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                                                                                     "Should I be worried about being a
                                                                                     slave and being returned to slavery?"

                                                                                     --WHOOPI GOLDBERG

                                                                                     "I also believe that America is the
                                                                                     greatest sin against God."

                                                                                     --FR. MICHAEL PFLEGER

                                                                                     "I'd like to tip off law enforcement to
                                                                                     an even larger child-abusing
                                                                                     religious cult. Its leader also has a
                                                                                     compound, and this guy not only
                                                                                     operates outside the bounds of the
                                                                                     law, but he used to be a Nazi and
                                                                                     he wears funny hats. That's right, the
                                                                                     Pope is coming to America this week
                                                                                     and, ladies, he's single."

                                                                                     "If you have a few hundred followers,
                                                                                     and you let some of them molest
                                                                                     children, they call you a cult leader.
                                                                                     If you have a billion, they call you
                                                                                     'Pope.' It's like, if you can't pay your
                                                                                     mortgage, you're a deadbeat. But if
                                                                                     you can't pay a million mortgages,
                                                                                     you're Bear Stearns and we bail you
                                                                                     out. And that is who the Catholic
                                                                                     Church is: the Bear Stearns of
                                                                                     organized pedophilia -- too big, too
                                                                                     fat."

                                                                                     "When the current Pope was in his
                                                                                     previous Vatican job as John Paul's
                                                                                     Dick Cheney, he wrote a letter
                                                                                     instructing every Catholic bishop to
                                                                                     keep the sex abuse of minors secret
                                                                                     until the Statute of Limitations ran
                                                                                     out. And that's the Church's attitude:
                                                                                     'We're here, we're queer, get used to
                                                                                     it,' which is fine, far be it from me to
                                                                                     criticize religion. But just remember
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                                                                                     criticize religion. But just remember
                                                                                     one thing: If the Pope was -- instead
                                                                                     of a religious figure -- merely the
                                                                                     CEO of a nationwide chain of day
                                                                                     care centers, where thousands of
                                                                                     employees had been caught
                                                                                     molesting kids and then covering it
                                                                                     up, he'd be arrested faster than you
                                                                                     can say 'who wants to touch Mr.
                                                                                     Wiggle?'"

                                                                                     --BILL MAHER




                                                                                     "Those who think they can revive the
                                                                                     stinking corpse of the usurping and
                                                                                     fake Israeli regime by throwing a
                                                                                     birthday party are seriously mistaken.
                                                                                     Today the reason for the Zionist
                                                                                     regime's existence is questioned, and
                                                                                     this regime is on its way to
                                                                                     annihilation."

                                                                                     --MAHMOUD AHMADINEJAD

                                                                                     "We'll be eight degrees hotter in ten,
                                                                                     not ten but 30 or 40 years and
                                                                                     basically none of the crops will grow.
                                                                                     Most of the people will have died
                                                                                     and the rest of us will be cannibals."

                                                                                     --TED TURNER




                                                                                     "We will continue to make the
                                                                                     necessary improvements so that
                                                                                     citizens of Milwaukee can be
                                                                                     confident in their elections."

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                                                                                     confident in their elections."

                                                                                     --TOM BARRETT

                                                                                     "Look, [Mitt] Romney comes from a
                                                                                     religion founded by a criminal who
                                                                                     was anti-American, pro-slavery, and
                                                                                     a rapist. And he comes from that
                                                                                     lineage and says, 'I respect this
                                                                                     religion fully.'"

                                                                                     --LAWRENCE O'DONNELL




                                                                                     [The Bush] administration has done
                                                                                     the greatest assault on our
                                                                                     Constitution perhaps in American
                                                                                     history."

                                                                                     --RUSS FEINGOLD

                                                                                     "I invite you to embrace Islam...
                                                                                     There are no taxes in Islam, but
                                                                                     rather there is a limited Zakaat [alms]
                                                                                     totaling 2.5 percent."

                                                                                     --OSAMA BIN LADEN

                                                                                     "Mexico does not end at its borders...
                                                                                     Where there is a Mexican, there is
                                                                                     Mexico."

                                                                                     --FELIPE CALDERON

                                                                                     "If our children are healthy, they'll
                                                                                     develop into their full potential and
                                                                                     become wonderful tax-paying
                                                                                     citizens sometime."

                                                                                     --STEVE KAGEN




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                                                                                     "I just freaked out."

                                                                                     --ERIC HAINSTOCK




                                                                                     "The planet has a fever. If your baby
                                                                                     has a fever, you go to the doctor. If
                                                                                     the doctor says you need to
                                                                                     intervene here, you don't say, 'Well, I
                                                                                     read a science fiction novel that told
                                                                                     me it's not a problem.' If the crib's on
                                                                                     fire, you don't speculate that the
                                                                                     baby is flame retardant."

                                                                                     --AL GORE




                                                                                     "Don't fear the terrorists. They're
                                                                                     mothers and fathers."

                                                                                     --ROSIE O'DONNELL

                                                                                     "Is America ready for a black
                                                                                     president? Well, I say we just had a
                                                                                     retarded one. When did being black
                                                                                     become a bigger deterrent than
                                                                                     being retarded?"

                                                                                     --CHRIS ROCK




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                                                                                     "Shut the f--- up! Shut up if you can't
                                                                                     take a joke [about President Bush]!"

                                                                                     --BARBRA STREISAND

                                                                                     "Right, oh, yeah, Happy 9/11!
                                                                                     Celebrate the day, right?"

                                                                                     --JAMES BROLIN, Mr. Barbra
                                                                                     Streisand

                                                                                     "I think President Bush very well may
                                                                                     have signed an authorization for the
                                                                                     9/11 attacks."

                                                                                     --KEVIN BARRETT, UW-MADISON
                                                                                     Lecturer




                                                                                     "I said what I said. I am not guilty."

                                                                                     --SADDAM HUSSEIN

                                                                                     "Terri will not be starved to death.
                                                                                     Her nutrition and hydration will be
                                                                                     taken away."

                                                                                     --MICHAEL SCHIAVO

                                                                                     "On the eve of the election last
                                                                                     month my wife Judith and I were
                                                                                     driving home late in the afternoon
                                                                                     and turned on the radio for the traffic
                                                                                     and weather. What we instantly got
                                                                                     was a freak show of political
                                                                                     pornography: lies, distortions, and
                                                                                     half-truths -- half-truths being
                                                                                     perhaps the blackest of all lies. "


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                                                                                     --BILL MOYERS

                                                                                     "I hate the Republicans and
                                                                                     everything they stand for."

                                                                                     --HOWARD DEAN




                                                                                     "The Iraqis who have risen up
                                                                                     against the occupation are not
                                                                                     'insurgents' or 'terrorists' or 'The
                                                                                     Enemy.' They are the REVOLUTION,
                                                                                     the Minutemen, and their numbers
                                                                                     will grow -- and they will win."

                                                                                     --MICHAEL MOORE




                                                                                     "And there is no reason, Bob, that
                                                                                     young American soldiers need to be
                                                                                     going into the homes of Iraqis in the
                                                                                     dead of night, terrorizing kids and
                                                                                     children, you know, women, breaking
                                                                                     sort of the customs of the--of--the
                                                                                     historical customs, religious
                                                                                     customs."

                                                                                     --JOHN KERRY

                                                                                     "I'm not going to have some
                                                                                     reporters pawing through our papers.
                                                                                     We are the president."

                                                                                     --HILLARY CLINTON




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                                                                                     "It depends on what the meaning of
                                                                                     the word 'is' is."

                                                                                     --BILL CLINTON




                                                                                     "And let me tell you something -- for
                                                                                     the first time in my adult lifetime, I
                                                                                     am really proud of my country. And
                                                                                     not just because Barack has done
                                                                                     well, but because I think people are
                                                                                     hungry for change. And I have been
                                                                                     desperate to see our country moving
                                                                                     in that direction and just not feeling
                                                                                     so alone in my frustration and
                                                                                     disappointment."

                                                                                     --MICHELLE OBAMA




                                                                                     "But I -- I think that the most
                                                                                     important thing for the public to
                                                                                     understand is, we're not handling any
                                                                                     of these cases any different than the
                                                                                     Bush administration handled them all
                                                                                     through 9/11."

                                                                                            ----------------------------

                                                                                     "One such translator was an
                                                                                     American of Haitian descent,
                                                                                     representative of the extraordinary
                                                                                     work that our men and women in
                                                                                     uniform do all around the world --

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                                                                                     uniform do all around the world --
                                                                                     Navy CORPSE-MAN Christian [sic]
                                                                                     Brossard. And lying on a gurney
                                                                                     aboard the USNS Comfort, a woman
                                                                                     asked Christopher: 'Where do you
                                                                                     come from? What country? After my
                                                                                     operation,' she said, 'I will pray for
                                                                                     that country.' And in Creole,
                                                                                     CORPSE-MAN Brossard responded,
                                                                                     'Etazini.' The United States of
                                                                                     America."

                                                                                            ----------------------------

                                                                                     "I hear that Dr. Joe Medicine Crow
                                                                                     was around, and so I want to give a
                                                                                     shout-out to that Congressional
                                                                                     Medal of Honor winner. It's good to
                                                                                     see you."

                                                                                            ----------------------------

                                                                                     "We are God's partners in matters of
                                                                                     life and death."

                                                                                            ----------------------------

                                                                                     "[T]he Cambridge police acted
                                                                                     stupidly."

                                                                                            ----------------------------

                                                                                     "The reforms we seek would bring
                                                                                     greater competition, choice, savings,
                                                                                     and INEFFICIENCIES to our health
                                                                                     care system."

                                                                                            ----------------------------

                                                                                     "Over the last 15 months, we’ve
                                                                                     traveled to every corner of the United
                                                                                     States. I’ve now been in 57 states? I
                                                                                     think one left to go. Alaska and
                                                                                     Hawaii, I was not allowed to go to
                                                                                     even though I really wanted to visit,
                                                                                     but my staff would not justify it."

                                                                                     --BARACK OBAMA

                                                                                            ----------------------------



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                                                                                        WALL OF SHAME ARCHIVES

                                                                                             THE OBAMA FILES

                                                                                              THE BIDEN FILES

                                                                                           AHMADINEJADOLOGY

                                                                                            CASTRO FAN CLUB




                                                                                             NOTEWORTHY
                                                                                             QUOTATIONS
                                                                                     "In a word, freedom is ever new. It is
                                                                                     a challenge held out to each
                                                                                     generation, and it must constantly be
                                                                                     won over for the cause of good.... [A]
                                                                                     democracy without values can lose
                                                                                     its very soul."

                                                                                     --POPE BENEDICT XVI

                                                                                     "When freedom does not have a
                                                                                     purpose, when it does not wish to
                                                                                     know anything about the rule of law
                                                                                     engraved in the hearts of men and
                                                                                     women, when it does not listen to
                                                                                     the voice of conscience, it turns
                                                                                     against humanity and society."

                                                                                     --POPE JOHN PAUL II

                                                                                     "We ourselves feel that what we are
                                                                                     doing is just a drop in the ocean. But
                                                                                     the ocean would be less because of
                                                                                     that missing drop."

                                                                                     --MOTHER TERESA




                                                                                     "To promote choice for its own sake
                                                                                     is more akin to self-indulgence than
                                                                                     self-determination. It is the
                                                                                     philosophy of a pre-schooler in a
                                                                                     candy shop."
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                                                                                     candy shop."

                                                                                     --BRIAN POLLARD, M.D.

                                                                                     "The ultimate tragedy is not the
                                                                                     oppression and cruelty by the bad
                                                                                     people but the silence over that by
                                                                                     the good people."

                                                                                     --MARTIN LUTHER KING, JR.

                                                                                     "The house we hope to build is not
                                                                                     for my generation but for yours. It is
                                                                                     your future that matters. And I hope
                                                                                     that when you are my age, you will
                                                                                     be able to say as I have been able to
                                                                                     say: We lived in freedom. We lived
                                                                                     lives that were a statement, not an
                                                                                     apology."

                                                                                     --RONALD REAGAN

                                                                                     "America has never been an empire.
                                                                                     We may be the only great power in
                                                                                     history that had the chance, and
                                                                                     refused -- preferring greatness to
                                                                                     power and justice to glory."

                                                                                     --GEORGE W. BUSH

                                                                                     "Let every nation know, whether it
                                                                                     wishes us well or ill, that we shall
                                                                                     pay any price, bear any burden, meet
                                                                                     any hardship, support any friend,
                                                                                     oppose any foe, in order to assure
                                                                                     the survival and the success of
                                                                                     liberty."

                                                                                     --JOHN F. KENNEDY

                                                                                     "Liberalism is the philosophy of the
                                                                                     stupid."

                                                                                     --MARK LEVIN

                                                                                     "Winning is not a sometime thing: it's
                                                                                     an all time thing. You don't win once
                                                                                     in a while; you don't do the right
                                                                                     thing once in a while; you do them
                                                                                     right all the time."



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                                                                                     --VINCE LOMBARDI

                                                                                     "We will be Warriors forever."

                                                                                     --BO ELLIS




                                                                                     "I know how much you're supposed
                                                                                     to enjoy every sandwich, you know."

                                                                                     --WARREN ZEVON

                                                                                            ----------------------------

                                                                                       NOTEWORTHY QUOTATIONS
                                                                                             ARCHIVE




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FREEDOM EDEN: Ezekiel Emanuel: COMPLETE LIVES SYSTEM                                                                 2/14/10 9:51 AM



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                                                                                       1
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FREEDOM EDEN: Ezekiel Emanuel: COMPLETE LIVES SYSTEM                                                                 2/14/10 9:51 AM



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                                                                                       2
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