You’ve been IPABed!

“What they’ll say is, well, you know what, that will never work because it’s government imposed and it’s bureaucracy and it’s government takeover and there are death panels,” the president said. “I still don’t entirely understand the whole ‘death panel’ concept. But I guess what they’re saying is somehow some remote bureaucrat will be deciding your health care for you.”

Well, Meet your ‘remote’ Bureaucrats…. ūüė¶

Most of the legal challenges to Obamacare, the president’s signature legislation that allows the federal government to take over health-care decision-making, focus on the “unconstitutional individual mandate” that defines sitting in one’s living room as “interstate commerce” and demands the purchase of government-approved health insurance.

However, there’s a new round of alarms developing over what critics have described as the ultimate “death panel,” concerns that have been raised because Barack Obama himself suggested giving an already-unaccountable board more authority.

It’s the idea of Obama’s Independent Payment Advisory Board, which is one of 150 board and commissions established by Obamacare but is the most notorious because it would be made up of 15 Obama-appointed individuals and would dictate Medicare policy affecting millions of seniors and disabled Americans with essentially no congressional or judicial oversight.

Here is the authority Obama endorses for IPAB: It wouldn’t have to follow the basic steps for adopting and enforcing administrative rules. Its payment schedules and policies couldn’t be examined by courts and automatically would become law unless amended by Congress through a difficult and complex procedure. And even if Congress would repeal the board in 2017, Obama’s strategy automatically delays the effectiveness of that repeal until 2020.

This will be the so-called “death panel” for medical rationing. Goldwater Institute has filed a lawsuit against IPAB.

But don’t worry, We are from the Government and we are here to save you from yourself! ūüôā

You’ve been IPABed! ūüôā

Obama then specifically said his panel’s authority should kick in at an earlier time than it already is scheduled to become the law.

U.S. Rep. Michael Burgess, who has authored “Doctor in the House” on the issue of the nationalization of health care, said the IPAB was a bad idea when ex-Sen. Tom Daschle, D-S.D., proposed it before voters removed him from office, and it hasn’t gotten better.

“Now for the first time ever the primary party for health care for seniors, Medicare, is going to be able to tell you what kind of care you can get, where and when you can get it and worst of all, when you’ve had enough,” he told WND today.

“If all you’re looking to do is be able to figure how to take care of old people cheaply, this is the way to go,” he said. “If what you want to provide is meaningful medical care, why would you set up or embellish a system that leads to waiting lists and rationing?”

He cited Obama’s recent comments, and said the board will become “the central command and control system” and the “primary tool” to limit, ration, reduce or restrict treatments.

Obama: “We will change the way we pay for health care ‚Äď not by the procedure or the number of days spent in a hospital, but with new incentives for doctors and hospitals to prevent injuries and improve results. And we will slow the growth of Medicare costs by strengthening an independent commission of doctors, nurses, medical experts and consumers who will look at all the evidence and recommend the best ways to reduce unnecessary spending while protecting access to the services that seniors need,” he said.

“No possible reading of the Constitution supports the idea of an unelected, stand-alone federal board that’s untouchable by both Congress and the courts,” said Clint Bolick, litigation director for Goldwater.

But you can bet a Liberal Ideological Judge could find one. And a Liberal Ideological Appellate Court could agree with it. And if Obama gains control of the Supreme Court, then they too will find it. ūüôā

‘Protecting any new federal agency from being repealed by Congress appears to be unprecedented in the history of the United States,” said Diane Cohen, the Goldwater Institute’s lead attorney in this case.

So why did the Liberals do it, because they know precisely what they are doing but will lie to your face about until the end of time.

The Wall Street Journal said, “Mr. Obama ‚Ķ is relying on the so far unidentified technocratic reforms of 15 so far unidentified geniuses who are supposed to give up medical practice or academic research for the privilege of a government salary. Since the board is not allowed by law to restrict treatments, ask seniors to pay more, or raise taxes or the retirement age, it can mean only one thing: arbitrarily paying less for the services seniors receive, via fiat pricing.

“Now Mr. Obama wants to give the board the additional power of automatic sequester to enforce its dictates, meaning that it would have the legal authority to prevent Congress from appropriating tax dollars. In other words, Congress would be stripped of any real legislative role in favor of an unaccountable body of experts.”

Supporters say the board will be able to make tough decisions because it will be largely insulated from legislative politics.
Yeah, because it will already BE ideologically driven and immune and untouchable. Just what a dictator wants when deciding the life and death of his subjects.

Dick Morris: “The IPAB will be, essentially, the rationing board that will decide who gets what care. Its decisions will be guided by a particularly vicious concept of Quality Adjusted Life Years ‚Ķ If you have enough QUALYS ahead of you, you’ll be approved for a hip replacement or a heart transplant. If not, you’re out of luck.

So like the case from Canada, is your life worth enough to save?

And I’m sure party apparatchiks will not receive any special consideration. ūüôā

After all,¬† Obama officials have granted 1,040 waivers to the new law already, because many groups, especially unions who supported Obama, and companies, contend they simply cannot meet its requirements, so shouldn’t have to.

Why would the IPAB be any different.

Jim Messina, in charge or Dear Leader’s re-election: ‚ÄúWe have to act like an insurgent campaign that wakes up every single day trying to get every single vote we can,‚ÄĚ Messina said in the video, which was described as a ‚Äúsneak peek at 2012 strategy.‚ÄĚ

Meaning, you though 2008 and 2010 were bad, you ain’t seen nothing yet.

And the Ministry of Truth News Media is already to go.

“If you want a vision of the future, imagine a boot stamping on a
human face – forever.”

—George Orwell

Only it will say IPAB on the soul of the boot when it grinds you into pavement.

But don’t worry, be happy!

And if you dare oppose Dear leader you are a Radical,Racist, Extremist who just wants to starve women and children, kick grandma down the stairs,make rich people richer and steal candy from babies you souless heartless motherf*cker! ūüôā

Political Cartoons by Glenn Foden

Political Cartoons by Eric Allie

Political Cartoons by Michael Ramirez

Political Cartoons by Mike Lester

The Future of ObamaCare?

The Nationalized Health Care of Canada has stuck again.

This is ongoing and started earlier this week but Wisconsin took up the time.

If this doesn’t outrage you, you must be dead, or a Liberal.

But it’s coming to an ObamaCare near you…

London, Ontario Free Press: Jane Sims The London Free Press Moe Maraachli keeps the snapshots of his dying baby boy in an envelope in his jacket pocket.

He pulls out the photos of the son he’s about to lose, trying to¬† understand how a hospital, an Ontario health-related board assigned to¬† judge consent issues, and a London court could say he and his wife can’t¬† take Baby Joseph home to Windsor to die.

“I do my best for my baby. I do my best,” he said Thursday outside the London courthouse, tears in his eyes.

“This is killing, this is criminal . . . I’m sure this is murder.”

This Monday, on Family Day in Ontario, Joseph Maraachli, who’s in a¬† vegetative state from a neurodegenerative disease, will die after his¬† breathing tube is removed from his tiny body at a London hospital,¬† ending an ethical and legal dilemma that tried to balance unwanted¬† suffering with the needs of a child and his family.

“I lose my baby,” his father, 37, who came to Canada from Lebanon 11 years ago, said. “They take him from me.”

“I don’t lose my baby like God take him. They take him. They want to take him.”

“It was basically our family’s word versus the medical system’s¬† world,” said his aunt, Samar Nader, who’s sure she saw Joseph respond to¬† her this week when she touched his head.

“I think in medicine, they’re just looking at the world from a black and white point of view.”

“The family understands the child and for us to witness his death on Monday . . . I don’t know,” she said.

An emotional Superior Court Justice Helen Rady, who called it¬† “heartbreaking” and “such a sad and difficult case”, decided Thursday¬† not to allow the family’s appeal of a decision last month by Ontario’s¬† Consent and Capacity Board to have the child’s breathing tube removed¬† and put in place a do-not-resuscitate order and palliative care.

The baby’s father and mother, Sana Nader, 35, wanted the same¬† treatment for Joseph as was given to their daughter before she died,¬† eight years ago at 18 months – give Joseph a tracheotomy and¬† ventilation, and allow them to take him home to die what they would be a¬† peaceful death.

But Joseph’s doctors say while a tracheotomy – an incision is made in¬† a patient’s airway, to help breathing – may prolong the baby’s life,¬† it’s futile in this case and would likely cause much discomfort. It¬† would certainly also increase the risk of infection and pneumonia, they¬† argue.

“The medical officials would not want this little boy to suffer,” Rady said.

When born in January 2010, Joseph, now 13 months, was a beautiful, normal baby.

But five months later he started having seizures like his sister. By June, he couldn’t swallow.

In October, he stopped breathing while travelling with his parents.¬† He was taken to an Ingersoll hospital, then rushed to the London Health¬† Sciences Centre’s pediatric critical care unit where he’s been ever¬† since.

His father has stayed in London to be with his son.

His mother is in London every weekend and returns to Windsor to look after the couple’s other son, Ali.

Joseph’s on a ventilator and fed through a tube. He’s in what the¬† doctors call “a persistent vegetative state.” The doctors say he’s blind¬† and deaf.

He’s missing all five brain stem reflexes considered necessary for¬† life – gag, cough, eye movement, pupil and cornea responses. His brain¬† deterioration is irreversible.

A team of doctors, including a world-renowned pediatric expert from¬† Toronto’s Hospital for Sick Children, has examined Joseph and agrees¬† he’s dying of the same progressive neurodegenerative disease that¬† claimed his sister.

Joseph’s doctor told the adjudication board that doctors¬† “reluctantly” gave the couple’s daughter a tracheotomy. Since then,¬† doctors have learned “substantially” more about the procedure and¬† determined it isn’t right for Joseph.

The board agreed with Joseph’s attending doctor that the baby has “no hope or chance of ever recovering.”

“While we feel a great deal of empathy for the parents, we held that¬† their view was not in any way realistic,” the board said, adding¬† Joseph’s parents “were blinded by their obvious love” for their child.

The State Board knows better!!!  Sound ObamaCare-ish? Yes!

Obamacare establishes the Independent Payment Advisory Board, whose stated responsibility is to develop proposals to reduce the growth of Medicare spending.
His parents fear Joseph will choke to death once the tube is removed.  They say he responds to their touch and wanted the board to see him in  hospital before deciding.

Rady said it’s unclear what the board would have seen had its members¬† agreed. And she noted that while Joseph’s head and body have grown, it¬† doesn’t mean the medical assessments are wrong.

The case digs deeply into the delicate balance of life versus. suffering.

Ethicist Margaret Somerville, of McGill University’s Centre for¬† Medicine, Ethics and Law, said the case is “a judgment where the parents¬† are giving priority to the prolongation of life and the doctor is¬† giving priority to the quality of that life.”

“I’m sure there’s no doubt in this case that this child has a very¬† poor quality of life, but we do know that health care professionals¬† judge quality of life much lower than people themselves do.”

Somerville said such quality-of-life decisions are delicate and often¬† at odds. What needs to be examined is why the family doesn’t agree with¬† the decision and if their reasons are acceptable, she said.

The board had ordered Joseph’s breathing tube be removed Friday, but Rady said that wasn’t sensitive to the family’s need.

Instead, she ordered they comply by Monday – a statutory holiday in¬† Ontario, to celebrate family – “to afford the whole family adequate time¬† to say their good-byes.”

Rady’s voice broke when she addressed the family. “I hope that in time you’ll find peace,” she said.

Joseph’s father wasn’t satisfied. “It’s not help,” he said later.

His lawyer, Geoff Snow, said he understands Rady’s decision but¬† added, “the loss of a child in any circumstances is tragic and it’s¬† unfortunate that there’s not more than could have been done.”

Lawyer Julie Zamprogna Balles, who acted for the doctor, said Rady’s decision was “well-reasoned and compassionate.”

While the case had “very sad and unfortunate circumstances,” everyone¬† involved, she said, have “focused on Little Joseph’s best interests.”

But a grieving Moe Maraachli said there’s “no humanity” in Canada. He expressed a desire to die himself.

“I stay with him until the last moments and hopefully I go with him,” he said.

THE ETHICAL ISSUE

Whether to provide medical intervention to prolong the life of a dying child who’s in a persistent vegetative state.

THE LEGAL ISSUE

Whether to allow an appeal of a decision by an Ontario health-based  board that adjudicates consent issues, to take the child off life  support.

****

LONDON, Ont. РA father who has been battling to stop a London, Ont.,  hospital from removing his terminally ill son from a ventilator stood  his ground Monday and defied a court order requiring him to give  consent.

Moe Maraachli says he and his wife Sana Nader are happy  the breathing tube keeping their 13-month old son Joseph alive has not  yet been removed.

But their fight to get the boy a tracheotomy so they can take him home to die isn’t over.

“I’m¬† very excited because my son doesn’t remove his tube today,” said¬† Maraachli, who has been sleeping at the hospital since Friday.

“All my family is happy. We are happy. We feel it’s really Family Day today.”

The Windsor, Ont., couple has been fighting for months against doctors at Victoria Hospital in London  who say their son should be removed from life support because he will  not recover from the rare neurological condition that has left him in a  vegetative state.

The family fears Joseph will suffer a painful  death if the ventilator is removed, and prefers that a tracheotomy be  performed so they can take him home to live his remaining days  surrounded by people who love him.

The couple’s 18-month-old¬† daughter died almost nine years ago from a similar medical condition.¬† She had a tracheotomy and lived at home for six months before she died,¬† said Maraachli.

But, last Thursday, Ontario Superior Court Justice Helen Rady ordered the couple to agree to take Joseph off the ventilator by 10 a.m. Monday.

The judge was upholding a decision already made by Ontario’s Consent and Capacity Board.

Because¬† the London hospital could not get consent to remove the breathing tube¬† from Joseph’s parents or other family members, it has the right to seek¬† consent from the Office of the Public Guardian and Trustee, said Mark¬† Handelman, Maraachli’s lawyer.

But Maraachli is hoping his son Joseph will be transferred to Michigan’s Children’s Hospital in Detroit.

Joseph  has been treated there before under the Ontario Provincial Health  Insurance Plan and the family feels they would have another chance at  persuading doctors to perform a tracheotomy if he returns there.

The couple’s friends recently contacted the U.S. hospital about a transfer and the London Health Sciences Centre, which Victoria Hospital falls under, was asked to send Joseph’s medical records there on Sunday.

The London hospital sent Joseph’s medical chart by courier to Detroit on Monday, said spokeswoman Laurie Gould.

“At this point in time we have not received any request for transfer,” said Gould.

If a transfer request is made, Gould said her hospital would contact the public guardian and “wait for their direction.”

The London hospital would not need permission from the public guardian to transfer Joseph to Michigan, said Handelman.

Alex Schadenberg, executive director of the Euthanasia Prevention Coalition, called the baby Joseph case sad and tragic.

Schadenberg questioned why doctors, not parents, should have the final say over their baby’s care.

“Is it right that the doctor has now so much power?” asked Schadenberg.

“I think the balance of power has shifted in Ontario too far, and I’m getting very concerned about who has the right to decide.”

Gould said the case is certainly “emotionally charged.”

The¬† hospital has received calls and emails from the public, some offering¬† prayers for the baby, who’s been at the hospital since October, she¬† said.

As cars honked their horns, a couple of dozen people holding  signs and photos of the baby held a vigil outside the hospital Monday  morning, an hour before the baby was to be removed from the ventilator.

Maraachli’s¬† sister-in-law Samar Nader said the family is “relieved and thankful”¬† for all the support they’ve received from the public.

“It’s true¬† that miracles do happen and I would never have expected for my nephew to¬† live past 10 o’clock without the people’s help,” she said.

****

(CNN) — A Canadian family fighting to keep their 13-month-old son on a breathing tube says they have been denied a request to have him transferred to a hospital in Michigan.

Moe and Sana Maraachli refused to sign consent when Canadian health officials determined their son Joseph, who suffers from a progressive degenerative neurological disease and was in a persistent vegetative state, should be removed from life support. Joseph is being treated at the London Health Sciences Centre in Ontario.

The Maraachlis reached out to the Children’s Hospital of Michigan in Detroit in hopes of having their son transferred there for continued care.

Family spokesperson Sam Sansalone said the hospital initially agreed to accept the transfer. He said he has since received an email indicating the request has been denied.

Sansalone forwarded an email from the Detroit hospital that he said explains that after a review of Joseph’s records by neurological and intensive care physicians, “we cannot offer Joseph anything that he has not been provided already during his current admission by his current clinical care team … transfer to our facility will not provide him or the family any benefit.”

Vickie Winn, a spokesperson from the Children’s Hospital, confirmed Joseph is not a patient at the hospital but could not offer further comment, citing patient privacy laws.

Sansalone said the family is pursuing at least three other hospitals in other states.

The family says the hospital has it wrong and that their son is not in a persistent vegetative state. Sansalone said they have noted experiences where the baby has responded to being tickled and has jolted when he felt discomfort with examinations or the feeding tubes. They say these are signs he might still have brain function.

However, Canadian health officials disagree. On February 17, they decided Joseph should be removed from life support. The family was given until February 21 to say their goodbyes and sign the consent, but they have yet to do so.

The Maraachlis are seeking a second opinion from what they consider to be an objective source that can review the more than 1,000 pages of Joseph’s medical records and provide a better assessment of their son’s treatment options.

If he is beyond hope, they want him to be able to receive a tracheotomy, where he can be transferred home and die in the care of family instead of in a hospital.

Experts say even if the family is granted this request, caring for a child in this condition is an arduous task.

Dr. David Casarett, director of research and evaluation at the University of Pennsylvania’s Wissahickon Hospice, says patients at home with tracheotomies need monitoring to make sure the airway is clear of secretions, the skin is clean and dry and someone can make sure the incision at the tracheotomy site does not get infected.

“A child’s care would be much more complex if a home ventilator is required, since the parents would need to manage the ventilator with the help of a nurse and respiratory therapist,” he said.

Suzanne Vitadamo, spokesperson for the Terri Schiavo Life & Hope Network and Terri’s sister, issued the following statement:

“It is unacceptable for Canadian Health Allocation Officials and/or the Canadian Government to make decisions for Joseph that will end his life and deny the wishes of his loving parents.

“Every patient, regardless of age, has a right to proper and dignified health care. It is frightening to once again see government usurp the God-given rights of parents to love and care for their child at home, especially when the child is dying.”

We are from the Government and we are here to help you, control you, and make decisions for you.

Rejoice!

Political Cartoons by Chuck Asay

Political Cartoons by Gary McCoy