Rationing Medicare: Update

My last article, Medicare is Already Rationing Care, focused on one small aspect of a much larger story, a story every American needs to know. The battle over the meaning of medicine began 2,500 years ago, not last spring.

In the late 1990’s I gave a lecture entitled “Post-Hippocratic Medicine in the Shadow of Nietzsche” in response to Peter Singer, the chair of bioethics at Princeton University. Singer had proposed we not consider humans “fully human” until they reached five weeks of age (after birth). During the first four weeks, he argued, we should allow the overt killing of infants with disabilities. This was “cost-effective.” It served the “greater good” by controlling the skyrocketing cost of healthcare.

For a decade I studied the question ”How did America reach a place in her history where we could seriously consider resurrecting the ancient practice of infanticide?” What I discovered changed my life.

For the past 2,500 years physicians served only one of two roles in Western culture. They either followed Hippocrates and served the wellbeing of their patients, or they followed Plato and served the greater welfare of the State. The philosophy of Peter Singer is not new—it has been with us for millennia. We once again stand at these same fated crossroads of Plato and Hippocrates as we debate the future of American healthcare.

Based on my study of history, philosophy, and current events, I feared we were rapidly returning to the world of Plato; a world where physicians worked at the behest of government, not solely for the patient. To help Americans understand what was about to transpire, I launched  Physicians for Reform in 2006.

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