In the article: “Palin: Obama's "Death Panel" Could Kill My Down Syndrome Baby” posted on The Huffington Post on August 7, 2009 its author Ms. Rachel Weiner pokes fun at former Alaska Governor Sarah Palin.
Further, I asserted that such rationing tools will be applied to the most vulnerable segments s of a population:: the very young, the sick, the elderly and disabled, to begin with. My sentiment at the time was echoed by Rev. Brad Karelius of Episcopal Church of the Messiah in Santa Ana, California, an expert on the issues of death and dieing: “Money will move the decision to kill people”, he said.
Fast forward to November 14, 2010: Paul Krugman, Princeton University professor and New York Times columnist who won the Nobel Prize in economics in 2008, said on November 14, 2010 that “death panels” may be needed to help curb the nation budget deficit.
“Some years down the pike, we’re going to get the real solution, which is going to be a combination of death panels and sales taxes,” he said. “It’s going to be that we’re actually going to take Medicare under control, and we’re going to have to get some additional revenue, probably from a VAT. But it’s not going to happen now.”
“Health care costs will have to be controlled, which will surely require having Medicare and Medicaid decide what they’re willing to pay for — not really death panels, of course, but consideration of medical effectiveness and, at some point, how much we’re willing to spend for extreme care,” he later clarified on his blog.
Calling it utilization review, health assetmanagement, allocation of medical resources, gatekeeper, cost-sharing, means testing are all health care rationing codes-limitating access to equitable distribution of medical services through various controls.
Most effected hospitals are in under-served areas, and are safety-net providers, operating on razor-thin margins or even running deficits, in vulnerable communities citywide.
Once these hospitals drop out of the system patients will suffer because of longer waiting time and lack of access to appropriate timely care. The City of New York will benefit by collecting the exorbitant fees and by withholding proper care to its citizens.
In the mean time, let's make sure Granny receives appropriate medical care regardless of age, race, financial condition, or social status despite Obama "reform", better described as health deform!
We gripe, you decide!