"You and I have a rendezvous with destiny. We will preserve for our children this, the last best hope of man on earth, or we will sentence them to take the first step into a thousand years of darkness. If we fail, at least let our children and our children's children say of us we justified our brief moment here. We did all that could be done."
Ronald Reagan

Monday, November 5, 2012

ObamaCare's IPAB - Independent Patient Advisory Board

The Independent Payment Advisory Board (IPAB) was established by Sections 3403 and 10320 of the Patient Protection and Affordable Care Act. The IPAB is charged by that law with developing proposals to “reduce the per capita rate of growth in Medicare spending.”

Under the terms of the Act, the IPAB is to be composed of 15 members appointed by the President with the advice and consent of the Senate.

The Chairman of the IPAB is appointed by the President from among the 15 members of the Board and the position is also subject to Senate confirmation.

In addition to the President’s 15 IPAB appointments, the Secretary of Health and Human Services, the Administrator of the Center for Medicare and Medicaid Services (CMS), and the Administrator of the Health Resources and Services Administration (HRSA) serve as ex-officio nonvoting members of the Board.

Who were the Chief Architects of ObamaCare?

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

NOTE: Untermensch (German for under man, sub-man, sub-human; plural: Untermenschen) is a term that became infamous when the Nazi racial ideology used it to describe "inferior people", especially Jews.

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

"Unlike allocation by sex or race, allocation by age is not invidious discrimination; every person lives through different life stages rather than being a single age. Even if 25-year-olds receive priority over 65-year-olds, everyone who is 65 years now was previously 25 years. Treating 65-year olds differently because of stereotypes or falsehoods would be ageist; treating them differently because they have already had more life-years is not."
Dr. Ezekiel Emanuel

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

NOTE: Attenuated means to make slender, fine, small or reduce in force, value, amount, or degree; weaken.

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

Dr. David Blumenthal:David Blumenthal, MD, MPP served as the National Coordinator for Health Information Technology under President Barack Obama from 2009 - 2011. In this role he was charged with building an interoperable, private and secure nationwide health information system and supporting the widespread, meaningful use of health IT.

Health information technology (health IT) makes it possible for health care providers to manage patient care through secure use and sharing of health information. Health IT includes the use of electronic health records (EHRs) instead of paper medical records to maintain people's health information.

This information would be used by IPAB to decide on what if any medical treatments could be used or prescribed for each individual patient.

Many, including Sarah Palin, have described the IPAB as "Death Panels", because the main function of IPAB is to reduce or restrict expensive medications or treatments from the weak, seriously ill, seriously injured, the elderly and/or defenseless individuals based strictly on cost.

ObamaCare "Complete Lives System"

Notice the sharp drop at about 55 Years of age for Medical treatments.

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