Ezekiel Emanuel, Rahm Emanuel’s brother and one of Obama’s health-care advisors, wrote in a January 2009 white paper that health care should be rationed in a way that “promot[es] and reward[s] social usefulness.” He said age could play a factor in determining who can and cannot access health-care resources.
Emanuel also wrote, “[S]ervices provided to individuals who are irreversibly prevented from being or becoming participating citizens [in the body politic] are not basic and should not be guaranteed. An obvious example is not guaranteeing health services to patients with dementia.”
Obama addressed this too, saying, “Whether, sort of in the aggregate, society making those decisions to give my grandmother, or everybody else’s aging grandparents or parents, a hip replacement when they’re terminally ill is a sustainable model, is a very difficult question. … And that’s part of why you have to have some independent group that can give you guidance.”
We will spend money we don’t have to pay for health care, or we will prioritize who gets treatment. It is an inevitable fact of life that the more the government outlays to keep you alive, the more your life becomes subject to a cost/benefit analysis.
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