Face the Facts: Obamacare Means Mass Murder

No matter where you are in the world, you have certainly heard a great deal of talk about so-called "Obamacare," and the huge opposition to it in the US. However, that opposition is almost entirely avoiding the real issue -- that Obamacare was designed and INTENDED to kill millions of people, through the denial of care to those deemed to be "unworthy of life" - based in fact on Hitler's T-4 health policy of eliminating "useless eaters" in a time of economic crisis. While some aspects of Obamacare are not yet implemented, the following fact sheet documents that there are already in place extremely deadly policies that are causing large numbers of deaths in the US, and that it must be stopped.

    This report, I believe, captures the immorality of our national leadership, the utter decay of our nation's economy, and the rapid destruction of our population.      Mike Billington

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This article appears in the October 25, 2013 issue of Executive Intelligence Review.

Face the Facts: Obamacare Means Mass Murder

by Marcia Merry Baker[PDF version of this article]

Oct. 21—The United States was suffering from a crisis in health care when President Barack Obama came into office. As a result of the deindustrialization of the U.S. economy, the privatization of health care into profit-making ventures, and deregulation, both the health-care system and the health of the American population were rapidly deteriorating.

Obama's health-care program, however, has made the situation much worse. If allowed to continue, it will turn the U.S. government into the enforcer of a worse-than-Hitler genocide machine.

In other locations, EIR has provided in-depth examination of the Nazi premises behind what is called Obamacare. Here we restrict ourselves to a presentation of crucial facts which show that such Nazi measures are already underway and leading toward mass death.

I. Provenance: Hitler's T4

1. Hitler T4 Health Care. In October 1939, Adolf Hitler issued his official directive on selectively putting people to death, which was already underway in Germany against handicapped children and concentration camp inmates. It was titled, "The Destruction of Lives Unworthy of Life." It arose from a prior meeting he held with medical professionals, to review "criteria" for practical and cheap methods of removing people deemed to be "unrehabilitable," and thus burdens on the nation.

Hitler's directive was administered from Berlin headquarters at No. 4 Tiergarten Strasse, where the Reich Work Group of Sanatoria and Nursing Homes began by conducting surveys of patients nationwide, designating who was not worthy to continue to live. They were put to death; the principle came to be applied on a mass scale through the gas ovens at concentration camps.

2. Tony Blair's T4 Health Care. In Britain, on April 1, 1999, the first initiative was taken by the Blair government (1997-2007) in the name of health-care "reform," to institute an updated version of the Hitler T4 program: The National Institute for Health and Clinical Excellence (NICE) was formed, to dictate what treatments would, and would not, be given to designated groups of patients in the British National Health Services (NHS), which had served the nation since the 1940s.

Blair's health advisor to set up NICE, Simon Stevens, then moved to take down the NHS system, by privatizing key functions, in particular, through the private insurer UnitedHealth Group UK, which Stevens joined.

The record shows how the death rate has climbed for whole classes of Britons, especially the elderly and cancer patients, as a result of both NICE barring treatments, and the NHS being dismantled. For example, as of 10 years after NICE went into effect, only 40-48% of British men diagnosed with cancer survived, and 48-54% of British women; in stark contrast to Sweden, for example, where 60% of men and 61% of women survived after a cancer diagnosis.

The particular program put into effect to speed up death rates was called the Liverpool Care Pathway for the Dying Patient (LCP). According to extensive exposés in the British press during the 2000s, participating NHS hospitals were offered financial inducements to put patients deemed to be at the end of life, on the LCP list, under which all treatment is discontinued, and even water and hygiene removed. The LCP started for cancer patients in Liverpool in the 1990s, with royal patronage; by 2012, it involved 178 NHS hospitals throughout Britain, and included patients with any illness. On average, 130,000 persons a year were put under LCP, based on the claim of saving medical resources, which, as of 2012, had rewarded hospitals with at least $40 million. An estimated 60,000 people on LCP died yearly, without having given their consent to discontinue care. After storms of protest, the U.K. government, in July 2013, ordered the LCP to be phased out over the next 12 months.

3. Obama's T4 Health Care. In 2009, the Blair/Hitler health concept was launched in the United States by the new Obama Presidency, as a campaign under the euphemism of care "reform," just as Blair had done in Britain. The Obama drive culminated in the March 23, 2010 Patient Protection and Affordable Care Act (ACA). Leading up to this were 18 months of intense propaganda, including 30 hearings and roundtables, under the cynical slogan that, under Obamacare, all Americans will get "access to care" through access to insurance.

In reality, the ACA law is made up of measures to cut care, destroy the means to deliver it, and to perpetrate death. At the same time, private Wall Street insurers get Federal subsidies.

Key figures in bringing about the ACA—including several with direct involvement in the British health system—have explicitly expressed the T4 principle, that there are "lives not worthy" to continue.

Dr. Ezekiel Emanuel, a longtime advocate for this Hitler health view, was appointed by Obama in early 2009, as the health advisor to the Office of Management and Budget (OMB). In April 2009, he was put on the new Federal Coordinating Council on Comparative Effectiveness Research, to devise rationalizations for cutting medical treatment. In particular, Emanuel stressed that the Hippocratic Oath caused "over-use" of medical resources, which must stop.

Peter Orszag, Obama's first head of OMB, promoted the panoply of Hitler health arguments and mechanisms. He is considered the leading architect of the Independent Payment Advisory Board (IPAB)—the analog to NICE, which was quickly dubbed Obama's "death panel." Orzag advocates cost-benefit analysis to determine whether medical treatment is warranted for a person. He backs the statistical "Quality Adjusted Life Years" (QALY) metric for whether it is worth it for a person to continue to live. Orszag's London collaborator, Sir Michael Rawlins, head of NICE, pumped the QALY formula in a Time interview March 27, 2009, saying, "A QALY scores your health on a scale from zero to one: zero if you're dead, and one if you're in perfect health. You found out, as a result of a treatment, where a patient would move up the scale," and you decided, based on how much a year of life is worth in dollar terms, whether to permit it or not, based on whether it takes too much away from society's scarce resources.

Moreover, Orszag holds that, even if you are not sick, but are living "excessively long," he advises that you should have your Social Security "adjusted" (i.e., reduced), according to a statistical formula he backs, called the "Longevity Index."

Simon Stevens, Blair's Hitler health operative, who re-located from the U.K. to the United States in 2007, personally advised the Obama White House on how to shape the new health law. In May 2009, he presented a report titled "Reducing Avoidable and Inappropriate Care," saying that $520 billion can be "saved" in the first 10 years of a new reform act, by cutting services to non-worthy people, especially the old. Stevens is the Medicare expert at UnitedHealth Group, the largest HMO in the United States (70 million policies).

Sir Donald M. Berwick, knighted by Queen Elizabeth for his work on NICE and on "reforming" the British NHS, was given a recess-appointment by Obama on July 7, 2010, to be administrator of the Centers for Medicare and Medicaid Services (CMS). As such, he was responsible for initiating T4 policies in programs affecting 49 million older Americans on Medicare, and 48 million poor, disabled, and dependent, on Medicaid. He stayed in office as long as his recess-appointment tenure would allow, leaving in December 2011, to avoid the scrutiny that would ensue in a Senate confirmation hearing.

While in office, he moved to strike certain cancer drugs from approved Medicare reimbursement; to set up ways to financially penalize hospitals for "over-treating" patients; and to limit physicians by imposing financial penalties and pushing top-down "evidence-based" medical practice dictates. He was followed in office by Marilyn Tavenner, a technocrat for Obamacare with a pedigree as top executive at HCA, the mega-for-profit hospital chain, benefitting from the takedown of the traditional community hospital system.

II. Context: Poverty, Illness,
    Degraded Hospital System

The ACA measures are being imposed as the final health-care "solution" to the poverty, illness, and suffering already underway as of 2010, and now far worse.

1. Impoverishment. Of the U.S. population of 314 million, roughly 135 million are working, but 20 million of those are working only part-time, and more than 50 million (inclusive of most of the 20 million) have work defined as low-wage (twice the poverty line or lower). Fifty-two million people are in households defined as poor ($22,000 or less income for a family of four); this is the highest number of people ever. The number of people living in "deep poverty," represented by an impossible $11,000 annual income for that family of four, has jumped to 20 million—1 in 15 Americans.

Some 50 million are forced to use food stamps to feed themselves and their families; and 50-80% of public school students in 20 Southern and Western states are poor, and rely on discount and free meals through the school-lunch programs of the Agriculture Department.

In the official, understated jobless picture: 11.8 million Americans are unemployed; 8.8 million are forced to work part-time; 4.5 million eligible workers have left the labor force or, coming of age, never entered it. This is 25 million eligible workers who need, but do not have, full-time work.

Due to actual inflation as defined by major categories of the market basket of living, in government statistics, the lower-income 60% of the population has experienced a drop of 10-15% in its real income since 1999. The fourth quintile has somewhat more than broken even, and the top 20%'s real income has doubled. Another measure of this for the lower 60%: Their actual average income is $500 more per household than in 1999; their actual expenses of living are $5,000 more.

The ratio of the total population employed is at a four-decade low, 52.4%. For young people aged 18-34, the ratio of employed has fallen from 84% in 2000 to 72% in 2012.

But if one subtracts self-employment, and takes Americans employed full-time by an employer not themselves, that ratio is down to 43.4%. According to a Gallup survey, it has fallen by 5%