I submit to the opinion that either Palin and Bachmann are ignoring the current the-provider-decides system because of an agenda or because they don't know enough about health care. Also, hearing Bachmann quoting Ezekiel Emanuel ( current White House Chief of Staff's brother ) on the topic made me realize she did have a point to criticize this Administration.
I recently heard an interview with Scott Conroy and Shushannah Walshe on the Leonard Lopate show [4] . They covered Sarah Palin during part of her campaign. They brought up that Palin had helped shoot down an unpopular component of current health care legislation. I read about Palin's contribution at [1], which had also linked to Bachmann's video at [2].
Emanuel was quoted to say that "[...] doctors take the Hippocratic oath too seriously as an imperative to do everything for the patient, regardless of the cost and effects on others [...]", paraphrasing this from Bachmann's [2] video . This quote spread like wild fire. It was taken from the Journal of the American Medical Association [8], where Emanuel had written "The Perfect Storm of Overutilization" over a year ago. Sean Hannity from FOX [7] and the NY Post [6] had their bite at it, but the Wall Street Journal [5] threw its two cents in too. Of course the Huff Post [1] was already mentioned.
Now to me, the fact that Emanuel wrote this article in JAMA is very interesting, because I remember when reading Edwin Black's War Against the Weak [10], I recall Black noted that JAMA had been a center stage for the Eugenics movement. I also did a quick search and found another article [9] on "Eugenic Sterilization[...]" which wrote out which American medical journals did and did not cover Eugenics in editorials during the period of 1930 to 1945. Of nine journals which they reviewed, JAMA and New England Journal of Medicine had published nine editorials together. The other seven journals had paltry mention of eugenics; one editorial at most was found.
Of course JAMA has completely disassociated itself from eugenics long since. I think including Emanuel's journal article is important. I believe that it is best to consider even the most radical ideas in peer-reviewed journals like this first. This way a policy-maker's words and beliefs are clear for everyone to see, but more importantly, the ethics and merit of those ideas will be tested and challenged before they even get a chance to be borrowed into law.
As far as I understand, Palin's contribution was to underline that it is a good thing that doctors adhere to the Hippocratic Oath. We want them to be like military contractors and spend spend spend when it comes to people's lives. Should a doctor be considering whether a particular treatment should be omitted because the person will die anyway? I have to completely paraphrase a Time mag article from memory here: 'the spread of a person's medical costs through his/her life is skewed more heavily to the last two years'. I tried to create a frame of mind where this idea went in line with eugenic thinking. Eugenics says you should 'forcefully implement' survival of the fittest by getting rid of the inferior in order to create a stronger people. Of course this is as ridiculous an idea as radical communism and not just because power-hunger agendas will turn utopian plans on their heads, but because people don't know what traits should be pre-selected for optimal survival.
Medicine is not a system for perfecting the human race. At that, it is a hit and miss game. Medicine is best used to treat patients with existing illnesses and it does a really good job at that as a technology and health management system. Yes and so medicine was not designed to improve the well-being of people across generations just as a system of government is best at dealing with and reacting to events which are happening at the present time, such as natural disasters and foreign attacks. But, the gov't is not so great at predicting/preventing future events. Okay maybe the medicine-government analogy is pitifully worked out.
My point is that this representation of eugenics/medicine can be compared with what Emanuel says about overutilization. He and eugenics proponents have two completely disparate goals in mind. He wants the US to save money and eugenics wanted a master race. Period. Why do I even bother comparing the two? It's because the end methodology may end up looking the same: curbing medical technology advancement and reducing spending on medical expenses of the elderly and disabled implies you put your money with those who are healthier. Ironically eugenics ended up spending their money on the 'unhealthy' ( mentally or otherwise ) by using it to try to sterilize them or keep them in asylums. But, the intent was to increase benefit to the prosperous.
This is a blog. I'm just putting my disorganized thoughts on "paper". I doubt this was coherent, but maybe I'll use it later.
References
[1] http://www.huffingtonpost.com/2009/08/07/palin-obamas-death-panel_n_254399.html
[2] http://www.youtube.com/watch?v=5CHBvKGmevI&feature=player_embedded
[3] http://www.huffingtonpost.com/kathleen-reardon/the-death-panel-already-e_b_256089.html
[4] www.wnyc.org/shows/lopate
[5] http://online.wsj.com/article/SB10001424052970203706604574374463280098676.html
[6] http://www.nypost.com/p/news/opinion/opedcolumnists/deadly_doctors_PU6S0iok2FbS368B7d7mAM
[7] http://forums.hannity.com/showthread.php?t=1566861
[8] Emanuel's "The Perfect Storm of Overutilization" on (Journal of the American Medical Association, June 18, 2008).
[9] Andre´ N. Sofair , "Eugenic Sterilization and a Qualified Nazi Analogy: The United States and Germany, 1930–1945 " ,
, http://www.annals.org/content/132/4/312.full.pdf
[10] http://www.waragainsttheweak.com/