(Hospice, Palliative Care and Health Care Reform)
By Ron Panzer
Selected excerpts, along with bracketed comments by Donald W. Miller, Jr., M.D.
(The bold, italic, and red font text that the author uses in Stealth Euthanasia are copied as is here.)
When the federal government becomes the big HMO itself, test and treatment denials will be the equivalent of death sentences for some, even many. The new health care reform law creates several methods that are likely to result in rationed care under the guise of “limiting expenditures,” or “keeping costs down.” [The power elite’s 2010 “Affordable Care Act” is a giant step towards their goal of installing a government-controlled and run, centralized, single-payer health care system — “the big HMO itself.”]
About 40% of all American deaths now occurring in hospice. [The new politically correct American way to die.]
This book provides a rare glimpse of the realities of health care in America that you will find nowhere else [This is not true. See my 2015 Journal of American Physicians and Surgeons article “Modern Medicine at the Crossroads,” also on LRC, and other articles and books on these realities by other investigators.]
Because of the HIPAA privacy regulations, nobody interested in researching what is actually going on in hospice can get access to the data, so hospices that have an agenda can act without any outside interference or supervision. [This is a key point in the book and an important insight by the author.]
Ezekiel Emanuel, MD, who our President appointed Health Advisor, promotes the “Complete Lives System” that is being implemented to ration care. Donald Berwick, who our President appointed administrator of the Centers for Medicare and Medicaid Services, is a strong proponent of Comparative Effectiveness Research which will also be used to ration care. Under the new law, “Accountable Care Organizations” [ACOs] are set up which will force very aggressive rationing practices by medical groups. [Despite substantial effort the “Complete Lives System” could not be incorporated in the Affordable Care Act (ACA). Furthermore, ACOs are fast going bankrupt.]
Independent Payment Advisory Board (IPAB) and the Patient-Centered Outcomes Research institute (PCORI), whose main activities will result in rationed care. [After considerable opposition the IPAB was also removed from the ACA.]
Palliative care (symptom management).
There is one practice that is sweeping through hospices and being very widely used: terminal or palliative sedation. This involves permanently sedating the patient, allowing the patient to dehydrate and die. It looks outwardly peaceful as the patient is made to sleep in a medically-induced coma, but the patient’s death is the result. [Sad. But true.]
The top level policymakers have decided that people will die in hospice or palliative care units and that they will be pushed into hospice through a wide variety of means. $3.6 billion saved in one year. Think that motivates the government? That’s nothing compared to the savings when the people placed into hospice doubles in the years to come. That’s the plan. If patients are hurried along toward death, the savings skyrocket! [To make matter even worse, it will not make much difference in ever-rising medical care costs.]
The “culture of death” that promotes imposing death through euthanasia, assisted-suicide or the Third Way in hospice (terminal sedation) views the pro-life movement as “the enemy.” In fact, they view traditional American society as “the enemy,” something to be manipulated and defeated so that their goals can be achieved. It is clear that traditional American values are pro-life. The Declaration of Independence mentions specifically the right to life!
Its 1994 Charter for Health Care Workers specifically warns against depriving the dying of the “possibility of living his own life, by reducing him to a state of unconsciousness not worthy of a human being. This is why the administration of narcotics for the sole purpose of depriving the dying person of a conscious end is a truly deplorable practice.” [This brings to mind the spirited 2006 movie Two Weeks with Sally Fields, which my wife and I saw recently, from Netflix, which I highly recommend.]
Planned Parenthood is the nation’s largest abortion provider and 96% of its services for pregnant women are abortions.” [The author describes how a fetus, viewed on ultrasound, even in its first three months of life reacts and fights to keep from being aborted by an abortionist.]
But withholding the patient’s regular medications, way before the patient reaches the end, active phase of dying, pushes the patient into a crisis. The patient then appears to be “actively dying” and is then either sedated, given morphine and other opioids, or both, and that un-needed cocktail of medications completely destabilizes the patient, who then dies. The trusting family doesn’t know what happened. Sometimes unneeded laxatives are given to promote uncontrolled diarrhea and contribute to life-threatening dehydration. [Pretty sickening.]
Patient “autonomy.” “Patient Self-Determination.” Haven’t we heard that before? We have. Again, this is the language being used today to justify the legalization of assisted-suicide, the “right to die,” and has been one of the three principles of the federal ethics set forth by the Congressionally-created Belmont Commission in 1978. [Elites are putting the leading component of medical ethics, patient autonomy, to ill effect.].
A denial of nutrition, may, in the long run, become the only effective way to make certain that a large number of biologically tenacious patients actually die.” “Given the increasingly large pool of superannuated, chronically ill, physically marginal elderly, it could well become the nontreatment of choice.” And it now is the “nontreatment of choice,” implemented in many hospices, hospitals, and nursing homes around the country making “sure” patients who just won’t die “soon enough” actually die. To make it seem more humane, sedation is added. [Said again, this way.]
There is a reason the major media refuses to publish the truth about hospice, palliative care, health care reform and stealth euthanasia. Most of the major media outlets like the Washington Post, ABC News, CNN and others have direct connections to those who support the culture of death approach: George Soros and others. Soros has poured millions into the major media and active journalists are on the boards of directors of Soros-funded organizations. In addition, many journalists support the Third Way stealth euthanasia practiced in many hospice and palliative care units (just “let him go”) and the legalization of euthanasia and assisted-suicide. [The picture of Soros’ face keeps popping up everywhere.]
HIPAA was “sold” to the public with the idea it would protect patient’s private personal information. HIPAA forms a complete wall of silence about what goes on behind closed curtains in doctor’s offices, hospitals, in hospice agencies, nursing homes, assisted living and any clinic of any sort. In 2009, the “HITECH” Act modified the HIPAA Privacy Rule to give it dramatically increased penalties: It’s about the silencing staff that sees what goes on. Employees. Health care workers are not going to talk about problems in health care with the public (say through a news story) unless they wish to risk everything on a casual comment. [I also discuss HIPAA and HITECH in my “Modern Medicine at the Crossroads” article.]
The Washington State “Death With Dignity Act” allows physicians to write prescriptions for a lethal drug and orders the medical examiners to falsely list the cause of death as the illness the patient was suffering from, rather than the lethal drug they took to kill themselves. Falsification of death certificates is nothing new, but openly ordering the medical examiners to lie is new. We hear about falsification of death certificates often from families who report their loved one was killed in a hospice or palliative care setting and then the cause of death is listed as cancer, Alzheimers or some other illness. Just as in the case of falsification of medical charts: whatever is officially listed (as the cause of death) is the truth, because it says so. It doesn’t matter that it’s all a complete lie. If everyone in government simply accepts what the record says, that is what the “official” truth is. Something that could have come right out of the Soviet Union’s propaganda machine. [As a physician/surgeon who practiced medicine in Washington State for 40 years, I am so glad now to be retired.]
[Especially having just turned age 76, talk about a scary graph!]
Not providing services to those the elite decide are not worthy of care is rationing. [Except, of course, the power elites themselves will have their own category of health care, where nothing will be rationed.]
Those who are pushing reform forward believe strongly in the need for entitlement reform. They will ration health care through the “Complete Lives System,” “Cost Efficiency Research”, and by encouraging physicians with financial incentives to get elders into hospice and palliative care sooner than they have been doing. [There is a lot of repetition in this 186,000-word book.]
The President appointed Donald Berwick, the director of the Centers for Medicare and Medicaid Services (“CMS”). Berwick has a long history of supporting health care reform including the rationing of care. In 1994, he wrote “Eleven Worthy Aims for Clinical Leadership of Health System Reform” and suggested that:
“Most metropolitan areas in the United States should reduce the number of centers engaging in cardiac surgery, high-risk obstetrics, neonatal intensive care, organ transplantation, tertiary cancer care, high-level trauma care, and high-technology imaging.” [JAMA. 1994;272(10):797-802.]
Berwick stated very plainly in a 2009 interview, “Rethinking Comparative Effectiveness Research” that he supports its use to ration care and bring costs down: “The decision is not whether or not we will ration care–the decision is whether we will ration with our eyes open.” [The author accurately describes Dr. Berwick; and although he does not dwell on it, comparative effectiveness research is subject to bias and manipulation.]
The real question is whether decisions made by Big Government about the availability of the care you need will be in your interests or the interests of an impersonal government evaluation of what “people of your age” should have access to. Remember, “Comparative Effectiveness Research” may sound reasonable at some point, but when coupled with Ezekiel Emanuel, MD’s “Complete Lives System,” it’s a recipe for disaster. And these types of ways of thinking, so shocking to ordinary citizens, have been promoted for many years. They will be pushed forward by many of the elite whether or not the health care reform law is declared unconstitutional by the Supreme Court. [Repeated. Since declared constitutional, the ACA remains a recipe for disaster and currently is in the process of steadily self-destructing.]
The Independent Payment Advisory Board (IPAB), (also mentioned in the health care reform law as the “Independent Medicare Advisory Board”) with its Presidentially-appointed 15 members, can amass unimaginable power to limit care provided to Medicare recipients. Mark Hemingway has written an April 14, 2011, article, “Obama’s Medicare Plan: Rationing by Bureaucrats — The president’s big plan for Medicare involves unelected bureaucrats making life or death decisions.” Hemingway states that “any recommendations IPAB makes about Medicare spending automatically become law,” and that “IPAB is more and more likely to be a Trojan Horse for the serious command-and-control rationing. [After the extensive dispute, the IPAB is no longer a part of the ACA, i.e., “Obamacare.” The Complete Lives System also has not yet been implemented—see my 2015 article “Modern Medicine at the Crossroads” for more on this.]
An Amazon reviewer of the book writes, “Euthanasia in hospice is horrifyingly real.”
The author addresses subject of stealth euthanasia head-on. But parts of it, as noted, are already outdated. While repetitious, the book is well written, with chilling effect. But this 286-page, 186,000-word manuscript is overly long and could profit from being updated and shortened. Nevertheless, Stealth Euthanasia unflinchingly addresses a very important subject, and in its free online format, the author provides many important links.
Dear Readers, don’t you think it’s time to admit you have been beguiled from kinder-garden, and the lies keep getting bigger and bigger. To hold any loyalty to this government is as dumb as it gets. What will you do when this happens to your parents? Is becoming a supporter of murder’s all you have to look forward to?