Things Heard: e82v5

  1. A book about strength and forgiveness in Rwanda noted.
  2. Violence in Sri Lanka, warning video is unedited and violent.
  3. Toward a better small engine.
  4. OODA and the healthcare debate.
  5. A SCOTUS decision to note for those who use computers.
  6. Cool astrophysics.
  7. Economics and healthcare … disincentives noted.
  8. Earth and solar radiation and a transistor analogy.
  9. Retirement and savings and Singapore.
  10. Eugenics and the Administration.
  11. Brandon has links … (I thought the one on genius very much worth your time … and that was just one of many).
  12. Market and Russia.
  13. A film reviewed, 12.
  14. Another film, Surrogates.
  15. Guantanamo and Estonia.

On Healthcare and Christian Virtues

Fr. Jake offers a rhetorical question that nevertheless deserves a response.

I must admit to being simply astounded that anyone who claims to be a follower of Jesus Christ would be against providing health care for every child of God.

Unless you cut out the 25th chapter of Matthew, the parable of the Good Samaritan, the year of Jubilee, and various other big swaths of scripture, it is simply impossible to refute the clear message that God has a preferential bias for the poor.

This is dishonest rhetoric. It is true that the Christian eschatological hope is exactly, in part, what Fr. Jake yearns for here, that everyone have succor and find their peace. How could a Christian be against that? [An aside: The Good Samaritan? How is that about poverty? Who is poor in that story?]

Well, first of all it isn’t charity. It is charity when I give to the poor and for other causes. It is not charity when, by force, I take money from my richer neighbor and give it to the poor. The revenue gotten from taxation, while the IRS is in now way anywhere nears as corrupt or likely as rapacious as the average 1st century Middle Eastern Roman tax collector, is not my nor anyone else’s charity. If a person does not pay, like then, that person faces a jail sentence. Charity is a principal virtue for the Christian. Charity cannot be given when there is no choice.

Fr. Jake continues with some statistics, the origin which he may be unaware, which are dishonest as well. “46 million” in this country are without healthcare. If you take out the millions who can afford healthcare but, because they are young and/or foolish and choose to spend their money elsewhere, don’t avail themselves of it … are not part of the crises as is normally considered. They are not the “poor” to which the church fathers sought to aid and of which the Gospels preach. The 46 million figure also includes the illegal residents … which Fr Jake notes “are not covered under this bill.” so then why include them in the 46 millions? Why not use a more accurate figure, which has been estimated elsewhere but is far less than 46 millions. Or “It will not raise your taxes” … which (so far) remains true … unless you consider your employer’s provision of your current healthcare part of your remuneration for your services (which it is) … for that will in fact be taxed. So not raising your taxes requires a particularly narrow evaluation of what “your taxes” means.

Thus while he notes that “a lot of disinformation and likes” have been spread about HR3200. Well, well, a lot of disinformation has been spread in favor of the bill as well. The (pseudonymous) Czar of Muscovy blogging at the Gormogons, has read the entire bill … and found it lacking in many respects, i.e., has quite a number of unmet criticisms. In fact, one might offer, that there is enough here that is objectionable that one might offer that while anyone who claims to be a follower of Jesus Christ might like to see everyone receive the aid and succor for which their heart yearns … HR3200 is not in no way shape or form the sort of bill by which that goal might be reached.

Furthermore, while yes, detachment from material things is seen as a virtue. I would offer this post from long ago on healthcare in the more abstract. Or here where I wrote:

Fr. Schmemann suggests that counseling and care (of Christians by Christians) at the end of life is incorrectly motivated. What he calls for is that instead of looking at quality of life and extension of the same, the priority of a Christian as he nears the end of his days in this life should be martyrdom. Now martyrdom doesn’t mean dying spectacularly in defense of the faith. It means, essentially witness. In this context, martyrdom means that the end of your life should be sign, a witness of your life in Christ. Extension of life, for a Christian, should be the highest priority, after all there is the life to come. Your life should be an expression and witness to that fundamental ontological freedom.

Things Heard: e82v4

  1. Stalin, a topic that generates heated discussions.
  2. Abortion related to collectivization.
  3. Giving up on the latest round of healthcare reform … for myself I have difficulty even with his first paragraph. How can anyone honestly regard HR3200 as moving toward a more “free market” approach to healthcare?
  4. State aid is not stimulus.
  5. Overstating the case? Perhaps but “greatest senator of the age” is a really really low bar in this particular age.
  6. New “rather” damning information in the Rathergate story.
  7. If you think liberalism is on the rise … you stand in a small crowd, according to one cricket race.
  8. A liberal who is conveniently forgetting it was a liberal the last time that brought “guns to a town hall” … and the liberal violence in last election cycle.
  9. That stinking feeling … one fix is to, well, ride. After all once your moving that stink is behind you. An yes, That Sinking Feeling was in my recollection a sublime (and hilarious) film.
  10. The advantages of public run healthcare, giving birth in elevators.
  11. Dress, casual or not.
  12. Concern over Russia … my “canary test” hasn’t registered much change … but then I haven’t been doing that for very long yet.
  13. One prediction of a second (bigger) crash.
  14. A gulag to change its stripes.
  15. An astonishing number, 5%. Related remarks here.
  16. For myself, I have not seen any “fat” people running sub-3 marathons, fast iron-men or in the cycling grand tours .. have you?
  17. Frogs.

Coping with H1N1 Flu

School is starting and officials are naturally worried about the potential of a H1N1 flu outbreak. The federal government has tried to provide some helpful advice. But buried in the memo is this brilliant little nugget on how to deal with a student infected with the H1N1 virus:

If close contact with others cannot be avoided, the ill student should be asked to wear a surgical mask during the period of contact. Examples of close contact include kissing, sharing eating or drinking utensils, or having any other contact between persons likely to result in exposure to respiratory droplets.

Kissing with surgical masks on? I suppose it’s too much to ask for the kids to not kiss period.

This is your tax dollars at work.

Is this responsible; saddling future generations with mountains of debt so that we don’t have to suffer ourselves?  Is this moral?

The federal government faces exploding deficits and mounting debt over the next decade, White House officials predicted Tuesday in a fiscal assessment far bleaker than what the Obama administration had estimated just a few months ago.

Figures released by the White House budget office foresee a cumulative $9 trillion deficit from 2010-2019, $2 trillion more than the administration estimated in May. Moreover, the figures show the public debt doubling by 2019 and reaching three-quarters the size of the entire national economy.

Obama economic adviser Christina Romer predicted unemployment could reach 10 percent this year and begin a slow decline next year. Still, she said, the average unemployment will be 9.3 in 2009 and 9.8 percent in 2010.

"This recession was simply worse than the information that we and other forecasters had back in last fall and early this winter," Romer said.

Fine, the recession may have been worse than your experts predicted, but you can’t possibly escape the fact that the "exploding deficits" and "mounting debt" are directly attributable to the administrations own programs, Ms. Romer.  You didn’t inherit TARP.  "Cash for Clunkers" is not a Bush administration program.  And it’s not entirely clear whether or not all this indebtedness has been a remedy.

Our current indebtedness is making foreign investors skittish, even if we do come out of the recession fairly early.  We have to pay this money back at some point, but Obama is going to foist it off on whoever’s President after him.

If this was a private citizen doing this, Dave Ramsey would be having an intervention.  Millions of (otherwise) fiscally responsible Christians would, too, but this crisis has turn some of them on their heads.

Here’s an article from March by Tony Campolo, where he says that he is repenting from being the "older brother" in the story of the Prodigal Son by complaining how irresponsible others were with (in this case) the money taken from him in taxes.

That, I am sad to say, is much the same attitude that I, along with most of my conservative evangelical brothers and sisters, have had in reaction to President Obama’s announcement that taxpayers’ dollars, earned by hard-working, responsible citizens, would be given to help those irresponsible Americans who bought houses that they couldn’t afford, while embracing a lifestyle that was beyond their means. With resentment, I, along with most of my rugged individualistic Christian friends, now sound like that older brother in Jesus’ story, and call for those irresponsible spenders to get what they deserve. With an air of self-righteous indignation, we declare, “They didn’t do what’s right and now we’re being asked to rescue them from the financial mess they’ve created for themselves!”

The gospel is about grace and we all know that grace is about us receiving from God blessings that we don’t deserve. But now, I, having received grace, find that my voice is blending in with a host of other older brother types who are reluctant to grant grace to those desperate home-buyers who were seduced into lavish living they could ill afford.

I’ve got some repenting to do. I doubt, however, that those who have wedded Christianity with laissez-faire capitalism will see things this way. I can just hear them saying, “Am I my brother’s keeper?”

I have no idea what conservative Christians you’ve been talking to, or perhaps imagining, Tony.  I am my brother’s keeper.  I am, not my government.  And my neighbor is not my brother’s keeper either, so forcing them via taxes to pay for my brother is wrong.  When God is separating the sheep from the goats, the Bible does not say He’ll ask me if I voted to make sure others paid to help the poor, He’ll ask if I fed the hungry, clothed the naked and visited the prisoner. 

Charity money I give directly, or through the organization of my choice, is grace.  Forcing me, with threat of incarceration, to pay for anything, no matter how well-intentioned, is most decidedly not charity or grace.  Campolo seems to suggest that God’s grace consists of always letting us keep the fruits of our foolishness and bad decisions. 

But in the story that he references, the younger son, while welcomed back into the family, does not get a windfall or a bailout.  He’s forgetting one of the last lines of the story, where the father says to the older brother, "’My son,’ the father said, ‘you are always with me, and everything I have is yours.’"  Yes, the younger brother came back and, instead of being a servant, was restored to his place as a member of the family.  Yes, he had a party thrown in his honor.  But, as Jesus points out through the words of the father, he no longer is entitled to half of the inheritance anymore.  That ship has sailed.  If he did have even that restored to him — if there were no consequence for his actions — the temptation later on to repeat the same mistake would be very great. 

As in that story, rewarding poor choices is not something we should have our government in the business of doing.  The father did take the younger son back into the family, which means he gets his 3 square meals a day and other benefits, and we, with our charity dollars (as opposed to forcibly taxed dollars), should be helping out those who made poor choices, or who find themselves in circumstances not of their own making.  Absolutely true, and I’d wonder where Mr. Campolo is finding Christians saying otherwise.  Certainly not in the disagreeing comments to his post.  They’re worth reading as much as the article itself.

Part of the issue with toxic mortgages is something Campolo alludes to; the government contributed to this problem by relaxing the rules on who could qualify for a mortgage.  This action was urged by liberals likely with the same mindset as now, who thought that encouraging home ownership, regardless of the ability to pay the debt, was also gracious.  Never mind the hindsight we now have, just the idea that doing anything and everything for the poor without thought for the potential consequences is irresponsible.  What we wound up with was a program to allegedly help the poor, that encouraged irresponsibility, funded by taxpayers, which, when it foundered, was then bailed out by taxpayers.  This, I believe, is the source of the frustration that Mr. Campolo is hearing; the same mindset that helped cause the problem claims that it can now solve the problem.

So the question from a Christian perspective is not whether we are our brother’s keeper, as Mr. Campolo’s straw man insists.  That’s a cheap shot at best.  I think the question is; what is the proper role of government in dispensing grace?  Jesus didn’t speak to the Roman government, nor did he speak to the local civic leaders (though He did have some strong words for the local religious leader).  He spoke to individuals.  To those outside the church, He said to repent.  That’s it.  To those inside the church, however, He had many things to say, including how to treat the poor.  Our civil government does not speak or act for the church, so it is not the job of the government to carry out the instructions to the church.  And given that churches and church-goers are, generally, the most giving and charitable people, I don’t see a rebuke of Mr. Campolo’s type is in order; simply an admonishment to continue to do more.

(This is not to say that we shouldn’t want the government to act morally in its proper spheres.  This is a question of what those spheres should be or how extensively it should penetrate those spheres that it is in.)

I grew up in the Salvation Army, and when giving out food to the poor, there was sometimes a concern that such giveaways might be scammed.  Perhaps a father comes in and gets groceries for a family of 3, and then later the mother comes in to do the same.  Is it moral to question whether or not the food program is being properly administered to avoid this?  Is it fair to the family in need who comes to our door only to be turned away because their bag of groceries went to a family that double-dipped, or didn’t really need it?  And so, wouldn’t it valid for those who give money to the Salvation Army, in hopes of helping the needy, to be frustrated if they find that the program needs more money because it was improperly handled in the first place?  And if it’s OK for the Salvation Army, how much more so for a government dealing out billions and trillions of dollars!

Don’t we expect good stewardship?  Or if the intent is good, should we ignore all the problems with a program and instead force our neighbors and future generations to pay for it?  How in the world is that moral or responsible or, if you will, sustainable?

Things Heard: e82v3

  1. A new release of a Psalter to look for.
  2. Manufacture, a behind the scenes look at making USB flash drives.
  3. Two posts on housing prices here and here.
  4. On returning to “9/10” mentality … bit by bit.
  5. Unimpressed by a bike plug. The maxim quoted, “Strong, light, cheap … pick two” is just a variant of the engineering maxim, “Good, Fast, Cheap pick two” (fast as in quick design/delivery).
  6. Healtcare is, yes, not a right.
  7. A putative book list. What would you suggest?
  8. Quoting Carville from the right. Every time Carville’s name comes up, fair or not, I recall him in a defense of Mr Clinton on PBS in reference to Ms Jones remarked, “See what you get when you trawl through a trailer park dangling a $20 bill.” Which, of course, begs the question why the President was using 20s to trawl in trailer parks (and yes, I know that wasn’t his intended meaning … just the one that I caught first and which stuck).
  9. Vanting to suck your blooood.
  10. Wondering whence the critics of Mr Bush’s religious ties from the left have gone.
  11. On the wicked servant, from a man with a way with words.
  12. Blending spirit with therapy.
  13. The contemporary Ernie Pyle, released from UK embedding, why?
  14. Pointing out Mr Krugman’s deception.
  15. And disparities in drug use … not mentioned so much.
  16. That union label and payback.
  17. A plug for early (not teenage) marriage.

A Remark on New Monasticism

Yesterday, a new (and hopefully returning) commenter, Michele remarked on an older post in which I was reading some theologically inspired economic ideas which originated with one Chad Myers. I disagreed strongly with these ideas. Michele offers:

I wanted to mention New Monasticism: http://www.newmonasticism.org/It is my understanding that Chad Myers is read by many people involved in this. Whatever Chad Myers is pushing for, it seems to have had a good outcome. These new monastics are out there taking the commandments of Christ to help the poor and share with each other. They are a fine group of people. There are a lot of singles in these groups as well. They may marry later, but I’m really impressed with what they are doing. Many people spend their 20’s trying to find spouses and building their careers. This is on the back burner for many of these people.

Before I begin my short remarks on this, I want to make clear that the web site above does not give very much detail (that I could find) of the actual details of how the new monasticism movement described above conforms. It may be that the assumptions that go into the remarks I make below are entirely wrong-footed and based on incorrect assumptions. Yet, Michele sought my comments and my opinion … so here goes. (below the fold) Read the rest of this entry

The Forgotten War … Protestor

Remember Cindy Sheehan?  Well if you don’t, that’s OK.  Neither do here one-time comrades-in-arms who sat with her outside Bush’s Crawford ranch trying to get an 2nd meeting with the Commander-in-Chief.  She’s up in Martha’s Vineyard protesting the wars in Afghanistan and Iraq, but she doesn’t have much company.

And neither does the media, who covered her so extensively, remember her, either.  It’s so bad that in order for the Huffington Post to even link to a story on her, it had to resort to quoting that stalwart national news organization the Cape Cod Times.

It was a media circus during the Bush years.  Now, suddenly, it’s gotten very, very quiet.  What a difference an administration makes.

Things Heard: e82v2

  1. Church, State, Gender separation, and the Uzbek and … a story reported the same way in three languages (plus an the comment thread features an evangelical atheist troll).
  2. Life imitiates art, err, sluggy, inflatable rockets.
  3. More life/art a Flintstones car, i.e., rocks as transmission.
  4. Again life/art debt as the road to power … a strategy being tried by our administration.
  5. Budget excess, news to whom?
  6. Bank bailout aftermath examined.
  7. Teacher training or the lack thereof.
  8. Political links from the right.
  9. Whether or not saving is good, keep doing it … it’s good for you and your family.
  10. Some questions about a bike.
  11. Virtual and reality … and a new insurance market.
  12. I was wondering why the left was encouraging the birthers, after all I never ever have seen birther data/discussions or posts … just the left talking about them.
  13. Monogamy … the next waffle word?
  14. Visiting the holy lands (places) of the north central states (holy? you ask. Aha. Life. Art, i.e., American Gods: A Novel).
  15. Obamacare rhetoric satirized.
  16. Our excellent government healthcare and its expansion.

Of Windows and Clunkers

Sunday, while riding, I had an entrepreneurial idea which I’m also almost certain occurred in abundance in the cash-for-clunkers boondogle.  This enterprise would most likely be best employed by a car dealer, perhaps one who put his bottom line ahead of his “patriotic duty.” Imagine a car dealer has a potential customer who wants to buy a new car, yet has no clunker to turn in. Here is a way in which that most of that $4.5k windfall could aid that person in buying a new car. He follows the following steps:

  1. The initial ingredient is a person (person A), willing to buy a car with the help of $3.5k cash-for-clunker money in the absence of said clunker.
  2. First, locate a person (B) who owns a qualifying “clunker”, i.e., not-so-good gas mileage and has owned it for two years.
  3. Offer that person an exchange/upgrade car + $1000, which of might be used toward the purchase of said “upgraded” clunker.
  4. That same said person is “lent” the money is then (on the books at least) used purchase the new car that the person A wants and is purchasing.
  5. Person B then “sells” car A (for a song and as agreed) to person A.
  6. Person A drives off with his car, which cost $3.5k less than negotiated originally.
  7. Person B drives off with a “new” used car. His original “clunker” is then turned to sand.
  8. The car dealer makes his commission on two cars (one used and one new).

If you don’t think this occurred with some frequency over the summer, you haven’t noticed that this is America … the land ruled by enterprising hucksters. The $1k/$3.5k split of course is illustrative and would vary in proportion as the market dictated. I’ll leave it as an exercise for the reader to defend this practice … or suggest how/why it is not possible given the current law. While it certainly violates the spirit of the law, I’m pretty sure a half-way competent lawyer could see a way to making it fit the letter of the law.

The Cash-for-clunkers hornswoggle has educated Americans in a practical lesson in Bastiat’s Parable of the Broken Window. This paradox/parable is one which the Keynsian’s would like to whitewash with talk of multipliers and other such nonsense, but the essential argument is largely untouched by that rhetoric, i.e., for the multiplier to be considered it is essential that the hidden costs implicit in their multiplier be ignored. The parable as recounted in the wiki piece above, excerpted is:

Have you ever witnessed the anger of the good shopkeeper, James Goodfellow, when his careless son happened to break a pane of glass? If you have been present at such a scene, you will most assuredly bear witness to the fact, that every one of the spectators, were there even thirty of them, by common consent apparently, offered the unfortunate owner this invariable consolation—”It is an ill wind that blows nobody good. Everybody must live, and what would become of the glaziers if panes of glass were never broken?”Now, this form of condolence contains an entire theory, which it will be well to show up in this simple case, seeing that it is precisely the same as that which, unhappily, regulates the greater part of our economical institutions.

Suppose it cost six francs to repair the damage, and you say that the accident brings six francs to the glazier’s trade—that it encourages that trade to the amount of six francs—I grant it; I have not a word to say against it; you reason justly. The glazier comes, performs his task, receives his six francs, rubs his hands, and, in his heart, blesses the careless child. All this is that which is seen.

But if, on the other hand, you come to the conclusion, as is too often the case, that it is a good thing to break windows, that it causes money to circulate, and that the encouragement of industry in general will be the result of it, you will oblige me to call out, “Stop there! Your theory is confined to that which is seen; it takes no account of that which is not seen.”

It is not seen that as our shopkeeper has spent six francs upon one thing, he cannot spend them upon another. It is not seen that if he had not had a window to replace, he would, perhaps, have replaced his old shoes, or added another book to his library. In short, he would have employed his six francs in some way, which this accident has prevented

This is the problem with the clunker. The taxed money which will be extracted from the public will not be able to be used for the various purposes to which they would have used those monies for, instead it is taken and used in this way. Very often that same said clunker gets just a few mpg more than the car it replaced, which then is scrapped … and the energy costs of production will take many years to recoup … so the net energy/pollution equation is likely for almost a decade … a loss in many if not most cases. Furthermore today, in the wake of cash-for-clunkers, we hear that the used car market is not difficult right now. The price of used cars is up and the availability of cars is down. There are few cars available … due to so many having been having silicate added to their engines. One might ask which whether the used car vs new car consumer is better or worse off financially relatively speaking in order to review who has been helped and who has been harmed by this policy.

"CNN Money" Lists 5 Freedoms You’ll Lose Under "ObamaCare"

No, you read that right.  It’s not Fox News reporting this; it’s CNN.  Even if you believe Fox News Channel is the broadcast arm of the Vast Right-Wing Conspiracy, you don’t have that excuse to hand-wave this away.

The article is here, but here’s just the main list of items:

  1. Freedom to choose what’s in your plan
  2. Freedom to be rewarded for healthy living, or pay your real costs
  3. Freedom to choose high-deductible coverage
  4. Freedom to keep your existing plan
  5. Freedom to choose your doctors

CNN details how these freedoms will be lost, in spite of protestations from Obama and his backers.  These freedoms would be lost in either of the two main bills; one in the House and one in the Senate. 

This is not just about covering folks who don’t have insurance, and millions of whom indeed don’t want insurance.  It’s about government control of the industry.

(There’s a word for that.  Can’t recall it just now.)

For Perspective: Spending

For those that continue to say, "Well, Bush spent a lot during his presidency!", a little perspective from Greg Mankiw:

Before you read this story, here is one number you need to know: the U.S. federal government’s debt is now about $7.4 trillion. That is the accumulation from past budget deficits.

With that number firmly in mind, here is a story from the Washington Post about the path of future fiscal policy:

The nation would be forced to borrow more than $9 trillion over the next decade under President Obama’s policies, the White House acknowledged late Friday, bringing their long-term budget forecast in line with independent estimates.

The projection is that in 10 years we’ll more than double the debt our country has accumulated up to this point.  Dubya and the Republicans continues to look more and more like coupon-clipping penny-pinchers compared to Obama and the Democrats. 

Or, if you prefer automobile analogies:

Things Heard: e82v1

  1. Of Flight 103.
  2. Stealth training.
  3. In group bias and the administration..
  4. Ms McArdle considers the (unlikely?) 2nd gunman hypothesis.
  5. I think John Climacus ~30 step program more likely to have a salutary effect.
  6. Finishing he bill … and finding a para-military healthcore at the end.
  7. US special ops elsewhere, i.e. not Iraq or Afghanistan and the GWOT, which has some sort of new name but I don’t know what that is this week.
  8. An opinion that life imitates art regarding Obamacare.
  9. Noting Iran.
  10. A List: 10 Myths believed the first time heard.
  11. Fact checking the so-called abortion myth and the healthcare bill.
  12. Some comic relief.
  13. Gay in Armenia.
  14. Well, I certainly learned about it early on … but then again a lot of WWII history I learned from Avalon Hill doing strategic war gaming as a kid (Third Reich and ASL come to mind).

Things Heard: e81v5

  1. Russia and the Ukraine moved in different directions post-communism. Why? Here’s one (Ukrainian) response.
  2. Terrorists in Russia.
  3. A clock (full disclosure: I have a non-Arduino based BCD clock on my desk at work).
  4. The left admits to dishonesty in the healthcare discussion. But, I can’t guess, which three?
  5. Consistency and the healthcare debate. Noting the above, I’m guessing the private option in the healthcare discussion is not what they really want.
  6. Grow your own.
  7. Continuing to read the bill.
  8. Working for the enemy in WWII.
  9. Obama’s inconsistent rhetoric on healthcare noted.
  10. Kennedy wants a “speedy replacement”. What? This cancer thing is new news to him?
  11. The TBS/BFoC-RUADH. Shooting books?
  12. 20% of birthers are Democrats, apparently.
  13. Mr Axelrod.
  14. Camera tech … or the HD of 50 years hence.
  15. Yet another broken promise. Silence from the left.

Healthcare Reform Hypocrisy On End Of Life

Ever since former Alaska Governor Sarah Palin made her “death panel” remarks on Facebook, President Obama has repeated as often as he can that the government in the proposed health care reform plan would not “pull the plug on granny”.

However, there is one agency responsible for healthcare of a certain segment of the population  whose actions directly contradict the President’s rhetoric (Hat tip: The Corner):

If President Obama wants to better understand why America’s discomfort with end-of-life discussions threatens to derail his health-care reform, he might begin with his own Department of Veterans Affairs (VA). He will quickly discover how government bureaucrats are greasing the slippery slope that can start with cost containment but quickly become a systematic denial of care.

Last year, bureaucrats at the VA’s National Center for Ethics in Health Care advocated a 52-page end-of-life planning document, “Your Life, Your Choices.” It was first published in 1997 and later promoted as the VA’s preferred living will throughout its vast network of hospitals and nursing homes. After the Bush White House took a look at how this document was treating complex health and moral issues, the VA suspended its use. Unfortunately, under President Obama, the VA has now resuscitated “Your Life, Your Choices.”

Who is the primary author of this workbook? Dr. Robert Pearlman, chief of ethics evaluation for the center, a man who in 1996 advocated for physician-assisted suicide in Vacco v. Quill before the U.S. Supreme Court and is known for his support of health-care rationing.

“Your Life, Your Choices” presents end-of-life choices in a way aimed at steering users toward predetermined conclusions, much like a political “push poll.” For example, a worksheet on page 21 lists various scenarios and asks users to then decide whether their own life would be “not worth living.”

The circumstances listed include ones common among the elderly and disabled: living in a nursing home, being in a wheelchair and not being able to “shake the blues.” There is a section which provocatively asks, “Have you ever heard anyone say, ‘If I’m a vegetable, pull the plug’?” There also are guilt-inducing scenarios such as “I can no longer contribute to my family’s well being,” “I am a severe financial burden on my family” and that the vet’s situation “causes severe emotional burden for my family.”

When the government can steer vulnerable individuals to conclude for themselves that life is not worth living, who needs a death panel?

This just goes to show in judging where the President stands on different aspects of health care reform that it might be better to pay more attention to his actions than his words.

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