Dr. Vliet: The goal of the new healthcare law—AKA Obamacare—has been to reduce expenditures for medical services to seniors and shift those funds into the Medicaid expansion providing medical care for younger people. Ezekiel Emanuel, Rahm Emanuel's brother and Obama's initial White House Health Policy Advisor, has described this fundamental transformation of American medical care in detail. He wrote a number of medical papers describing his "Complete Lives System," in which he outlined two major goals for the delivery of medical services in the United States:
1. Medical care is to be "attenuated" (i.e., rationed) for those older than 45 and younger than age 15, so that medical resources can be concentrated on those whom bureaucrats deem most "valuable" to society.2. Doctors should be taught to do away with the Oath of Hippocrates and its focus on the individual patient. Doctors should instead be taught to make medical decisions aimed at what is good for the "collective," or society as a whole.
Emanuel's views underpin the philosophy behind the Obamacare law. They are the primary reason that over $700 billion was cut from Medicare (source: the Congressional Budget Office) and shifted into the Medicaid expansion for medical services for younger people. The older (and "less valuable" to society) one is, the harder it will be to have medical care approved.