The Race Card-Going Viral with Ebola

O.K, that’s it. The divisive America-haters have called racism one too many times for me to pray for good to overcome evil, turn the other cheek, and bite my tongue. October 9th, on O’Reilly, Geraldo Rivera accused doctors at Texas Health Presbyterian Hospital in Dallas of gross malpractice and racism in the death of Thomas Eric Duncan, the first patient to develop symptoms from Ebola in the U.S and the first to die from Ebola in the U.S. Then Duncan’s nephew, Josephus Weeks, said his uncle’s care was “either incompetence or negligence.” Weeks said “there is a problem, and we need to find the answer to it.” He went on to say it was “conspicuous” that all the white Ebola patients in the U.S. survived “and the one black man died.”

Mr. Duncan flew from his home in Liberia to Dallas after close bodily contact with a nineteen year-old pregnant woman who died from Ebola. Duncan lied about his exposure to Ebola, first to gain entrance to the United States and then upon presentation to the hospital in Dallas. Duncan’s lies resulted in exposure of countless numbers of innocent individuals, who trusted his word, to the Ebola virus.

Ebola virus is deadly with a 25-90% mortality rate. The mortality rate is higher in Liberia than the U.S. for many reasons but obviously because there is not sufficient access to advanced medical care in Liberia where there are thousands of patients, thousands of deaths, and limited resources. In the United States, there have been only five Ebola patients thus far. Four were American citizens brought to the U.S. for care, having contracted Ebola in Liberia. Duncan is the first patient to bring the Ebola virus to the U.S. undiagnosed. He smuggled it in, if you will. Had he told the medical personnel the truth about his direct contact with an Ebola victim, the course of events no doubt would have been different. Perhaps he would have survived longer, perhaps not. Of five Ebola patients in the United States, Duncan has died, three have lived, and one is fighting for his life. The U.S. Ebola virus mortality rate stands at 20%, the best scenario reported. Doctors did not kill Mr. Duncan, Ebola virus did. Ebola does not discriminate.

The four surviving American Ebola patients are two doctors, one nurse, and one videographer, all members of medical teams who knowingly exposed themselves to Ebola-stricken patients in Liberia as they unselfishly attempted to provide medical care in the disease stricken, impoverished region. In stark contrast, Duncan fled the Ebola region, virus in tow, selfishly lying to seek refuge and medical care for himself in the U.S. Upon diagnosis, the four surviving Ebola patients were admitted directly to specifically selected hospitals in Atlanta and Omaha that specialize in serious infectious diseases. These facilities were notified and prepared for the arrival of the already diagnosed patients. Duncan, on the other hand, showed up on the doorstep of an unsuspecting hospital, having lied to immigration officials to get into the U.S., and proceeded to give false medical history to the trusting, protocol-following, and now Ebola-exposed hospital personnel. The odds of a patient being diagnosed with Ebola on U.S soil and showing up at the local E.R. stand at 1:315,000,000. Had Duncan fessed up, perhaps he would have been transferred to Omaha or Atlanta as a precautionary measure rather than sent home as any other typical non-Ebola-exposed patient would have been regardless of race. The diagnosis would have come sooner had Duncan reported his true clinical medical history.

As a physician, I treat each individual patient with dignity, respect, and 100% devotion regardless of race, creed, or other distinction. I expose myself to disease each and every day as I seek to serve others in my profession of calling. Throughout my professional life, the patient-physician relationship has been sacrosanct; in this regard, truth is the foundation, and lies are rare and counterproductive to the patient’s best interest. I do not appreciate liars. Fortunately, they are rarely encountered.

Unfortunately, as Hippocratic medicine is undermined and replaced by government–run medicine of Obamacare, the patient–physician relationship is violated. Physician-extenders and electronic medical records supplant direct patient-physician contact, the private history, and a hands-on physical examination. Because of government intrusion, patients are afraid to tell the truth to a “provider” who sits with their back to them, entering data into mandated electronic records, which can be hacked, shared, and used for government research without patient consent. There is no trust. There is no privacy or dignity either.

I don’t blame Duncan for lying. He was afraid for his life. But, don’t call physicians racist when our system is subject to corrupting forces of increasing government control, which are increasingly out of our control. Are we now to presuppose that all patients are liars and not to be trusted? That all patients are infected with a lethal, virulent virus as a default position? Must we show up to work each day in a Hazmat suit? Why even take a patient history? What is the “provider” pecking into the computer after all? Is it all just “garbage in and garbage out”?

And, is the level of expectation for physicians now that 100% of all patients we encounter must survive even the most lethal disease, or we are guilty of gross malpractice and racism?

Did Geraldo and Duncan’s nephew research the race of the four surviving Ebola victims? Did Geraldo investigate the races of the nurses and doctors that took care of Duncan in Dallas? Did Geraldo and Weeks look at pictures of these people or make presumptions based on name only? So, who’s racist? “Eric Duncan” doesn’t sound very Liberian to me. “Nancy Writebol, Dr. Kent Brantly, and Dr. Rick Sacra,” what are those names? Dr. Ashoka Mukpo-wait, what kind of name is that? Geraldo, …REALLY? Are you that divisive and political that you throw the race card at America’s 850,000 physicians for a 1:315,000,000 death from highly virulent Ebola virus?

Perpetuating the racial divide is malicious. Physicians must opt out of this “political medicine” race card game. We must not serve this Ezekiel Emanuel “Die at 75,” Kathleen Sebilius “Someone lives and someone dies,” Sylvia Burwell “inflict maximal pain,” Don Berwick “NHS is such a seductress,” Barack Obama “we’ll let your doctor know… if it’s better to take have the surgery or take the painkiller” regime of community organizers and dividers. We must serve the patient. We must unite and establish a parallel, patient-centered universe where physicians practice Hippocratic medicine and patients’ relationships are with the doctors who serve them, not with the insurance companies or government agencies who serve themselves. Is that racist?

Or is Geraldo?

O.L.D. (Obamacare Legislated Death)

Is it just a small world these days with Obamacare, or do bad things always come in threes?

1. The Institute of Medicine (IOM) publishes a report entitled Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life (2014) . The IOM plays an important role in Obamacare decision making and hopes this particular report “will further shape the national conversation on dying in America.”

The study was supported by “A public-spirited donor” who wished to remain anonymous.

Shocking is a proposed paradigm shift of significant philosophical impact. Currently, “in the absence of adequate documented advance care planning, the default decision is TO TREAT a disease or condition” and TO PROVIDE life-sustaining care, such as CPR, to the patient in the absence of an advanced directive that specifically states “Do Not Resuscitate”. The IOM’s Committee on Approaching Death: Addressing Key End of Life Issues recommends that the default decision change. They promote a system where a medical order should be present in the patient record in order to implement life-sustaining treatment for people of all ages with a serious illness or medical condition who may be approaching death- the default decision becoming “allow natural death”. The committee urges states to develop and implement a “Physicians Orders for Life-Sustaining Treatment” (POLST) paradigm program in accordance with nationally standardized care requirements. Are we fundamentally transforming from doctors who provide life-saving measures, unless there is a specific order to withhold them, to doctors who do NOT implement life–sustaining measures, unless there are specific orders to provide them?

The committee calls for urgent attention to the matter of dying and makes recommendations stressing the need to seek legislation and create incentives for advance care planning for everyone from neonates on up. They especially want Medicare aged people and the “frail” to have publically funded, 24/7 access to palliative care, including referral to expert-level palliative care which undoubtedly will include Physician-Assisted Suicide. Six states already offer physician-assisted dying. Such end of life planning and care is described with the words “compassion, choices, evidence-based, affordable, and sustainable,” such nice words. They report that “In the end-of–life arena, there are opportunities for savings by avoiding acute care services that patients and families do not want and are unlikely to benefit them.” They say they want to maximize independence and “Quality of Life” over living longer. Obamacare bureaucrats will be the judges of what constitutes “Quality of Life.” We are evolving from providing cure-oriented care to emphasizing palliative care and cost.

The committee points out that U.S. healthcare expenses totaled $2.8 trillion in 2012 alone. Medicare and Medicaid cost a combined $994 billion, 36% of national health expenditures. 10,000 new baby boomers enter Medicare each day, and Medicaid rolls are growing because of expansion through Obamacare. 20% of the U.S. population will be older than 65 by 2050. 2.5M people die yearly in the US, and 80% of US deaths occur among people covered by Medicare. ¼ of Medicare spending is incurred by individuals in the last year of life. The Committee seeks major reorientation and restructuring of Medicare and Medicaid including changing financial incentives and offering “positive alternatives for the end of life”. Providing palliative services instead of providing life-prolonging services to the Medicare/Medicaid population will save a tremendous amount of money.

2. Obamacare architect and IOM member, Ezekiel Emanuel, MD tells The Atlantic “Why I Hope to Die at 75” in a shocking article that uses the same lingo and opining as the IOM Dying article. A firestorm of commentary results, and the “end of life/death panel” debate is reignited in the public forum. Battle-fatigued Americans have seen this debate before, but we’re not as shaken as when Dr. Emanuel wrote about euthanasia and Physician-Assisted-Suicide (PAS) in The New England Journal of Medicine back in 1998, Archives of Internal medicine in 2002, and countless other publications on this issue of his fixation. If only Emanuel could have been the kind of doctor who cures cancer and Aids, a healer who develops innovative treatment modalities that improve and lengthen life. But no, sadly, Emanuel is a world expert on rationing, death, and dying.

His “Complete Lives System” of rationing allocates resources to those between 15 and 40. He refutes the assertion that this is “ageism”, because 75 year olds already got to be 25. Honorably, the elderly and frail should not want to use resources that could otherwise go to their family or other younger people who have not yet lived a “complete life.”

3. Medscape Business of Medicine, sister organization of Web MD that received $14M from HHS to “educate us” (propagandize) about Obamacare, publishes a report, which it disseminates to physicians, entitled “Physician-Assisted Dying: Is Resistance Eroding?” The report is a compendium of 10 articles and interviews using the same semantics of “compassion and choices” espoused by the IOM and Dr. Emanuel. An interview with Diane E Meier, MD entitled “Have We Overlooked Palliative Care as an Answer to a Patient’s Suffering?” is virtually a synopsis of talking points plucked from the IOM report on Dying and Emanuel’s “Death-wish” article. Closer inspection reveals that Dr. Meier is actually one of the 21 cherry-picked authors of the aforementioned IOM’s Dying in America report and like her colleague Emanuel, is a prolific writer in the euthanasia, physician-assisted-suicide world.

Read the compilation of Medscape articles- our money seized through usurious taxation via Obamacare funded the dissemination of this Obamacare action item. Now that we’ve got public funded abortion in the law, public funded death is just around the corner.

The name change from Physician-Assisted-Suicide (PAS) to Physician-Assisted-Death (PAD) is by design, as is this three prong “reintroduction” of death issue. It is the same people with the same ideology, agenda, and messaging repackaged.

Rita L. Marker, JD, Executive Director of the International Task Force on Euthanasia and Assisted Suicide warns that “All social engineering is preceded by verbal engineering” and that “Few people realize the vital role private foundations play in promoting societal change. More often than not, major shifts in public attitudes and public policy come not from grassroots clamor but from the hard work of a committed few activists with the ideas and the donors who fund them…Without the money that is the mother’s milk of public advocacy, those inspired to agitate for change would not get very far. The assisted suicide/ euthanasia movement typifies this phenomenon.” She points out that euthanasia and PAS/PAD advocacy group,, was formerly known as The Hemlock Society. The words Compassion and Choices are favorites in this trilogy of “Quality Dying” publications.

I would love to know the identity of the “public-spirited anonymous donor” for the Institute of Medicine’s Dying in America report
and the name of his or her private foundation.

This is not just a “small world” coincidence or a trite radical trial balloon launch. This is an intentional rollout of things to come, coming in talking points, Orwellian style.

Be aware of Obamacare SEC. 4305. ADVANCING RESEARCH AND TREATMENT FOR PAIN MANAGEMENT, SEC.409J. PAIN RESEARCH, and SEC. 759 PROGRAM FOR EDUCATION AND TRAINING IN PAIN CARE. These sections, combined with SEC.1181 Comparative Effectiveness Research, Patient Centered Outcomes Research Institute, and SEC. 3403 The Independent Payment Advisory Board will literally be determining end of life care for those who do not have the resources or access to seek medical care outside of Obamacare. This leaves no alternative for the truly poor and the newly deemed “in poverty” via Medicaid expansion or for seniors who have limited resources as they are forced to pay monthly premiums for Part A Medicare or forfeit their Social Security benefits.

Obamacare tells us what we CAN have, but most importantly, Obamacare tells us what we CANNOT have. This agenda is moving faster than expected. Euthanasia is rebranded as PAS, PAS as PAD, and PAD is redefined in terms of Compassion, Care and Choice. The age of Obamacare-Legislated-Death (O.L.D.) is upon us. O.L.D.- yes, bad things come in threes.