Showing posts with label QALY. Show all posts
Showing posts with label QALY. Show all posts

Saturday, July 24, 2010

Does The Church Have A Voice?

"It is high time we broke with our theologically based restraint toward the government's actions - which after all is only fear. 'Speak out for those who cannot speak' - who in the church today realizes that this is the very least that the Bible requires of us?"

Who spoke these words? A right wing crazy? A Pro-life zealot?

Obviously, it was someone who took God's Word seriously. Isaiah 1:17b reads - Defend the cause of the fatherless, plead the case of the widow.

We are commanded to do this because it is part of God's very nature. We are called to imitate our Father. Deuteronomy 10:17-18a reads - For the Lord  your God is God of gods and Lord of lords, the great God, mighty and awesome, who shows no partiality and accepts no bribes. He defends the cause of the fatherless and the widow . . .

For the last 40 years the church has been leading the way in speaking out for those who cannot speak - the unborn. In spite of this, over 52 million babies have been aborted legally in the United States since the Roe v. Wade decision in 1973.

Soon there will be a new class to speak out for.

Dr. Donald Berwick was recently appointed the head of the Centers for Medicare and Medicaid Services (CMS). He is also a strong advocate for transforming our healthcare system into one that imitates NHS in Great Britain. A quick glance at the NHS website reveals a chilling reality - the government there uses a formula to assign values to human lives.

A portion of the official website reads: The enormous costs involved mean that choices have to be made . . . To ensure our judgments are fair, we use a standard and internationally recognized method . . . the quality-adjusted life years measurement (the ‘QALY’).

The QALY is determined by multiplying your life expectancy by a number that corresponds to your "quality of life". Your quality of life is determined by an agent of the government. Then, using the QALY, they calculate how much your life is worth. If you are young or have a higher quality of life, then you have great worth. If you are aged or have a lower quality of life, then you are worth less.

How can we reconcile this concept with the fact that our Savior gave His life for ours? Are some lives worth more than others? Are other lives worth-less? There have been times in world history where large groups of people believed this lie, and the consequences were unspeakable.

In those dark times in history, few spoke up for the worth-less. Why should they speak out? After all they were proud, patriotic citizens and these decisions were being made for the good of the country.

Scripture clearly teaches that all life is precious; there are no worth-less lives. Scripture clearly commands us to speak out for those who cannot speak; there are no worth-less lives.

The church has a decision to make. Will we speak out? If this national effort to calculate the value of a human life cannot be prevented, the church will have additional decisions to make. Will we care for those whose lives have been determined to be worth-less? Will we agree by our silence that some lives are worth more than others? Will we allow this cancer to grow unchecked in our culture?

The choice is ours. The worth-less are depending on the church to find and use its voice.

By the way, the words that began this article were penned on September 11th . . . 1934. They were written by a German pastor named Dietrich Bonhoeffer. Eleven years and more than 6 million "worth-less" Jewish lives later, the world was concluding the Second World War; a war that claimed an additional 60 million lives during the conflict. Were all of those lives worth-less? Were ANY of those lives worth-less? How would history have changed if the church had found its voice?

Questions or comments? Write curt@smdcog.org


Thursday, January 14, 2010

An American Journal In the 21st Century - Thursday, January 14, 2010

Thursday, January 14, 2010 - A new foundation Is being laid for at New America. Those who truly understand this new foundation have hidden it in the 2000-plus pages of the Health Care bill being re-written in Washington D.C. Here's something you need to know about that new foundation.


The President's first choice for Secretary of the Department of Health and Human Services (HHS) was former Senate Majority Leader Tom Daschle. After losing his re-election bid in 2004, Mr. Daschle wrote a book about his view of the condition of healthcare in America and his desire to see it improved. The book is titled "Critical: What We Can Do About the Health-Care Crisis".


In the book, Daschle argues for a single-payer (government controlled) healthcare system. Daschle concedes that pushing for a single-payer system in the United States would be politically problematic and that it would indeed result in socialized medicine. On March 3, 2008 Daschle said in a Huffington Post article, "I have proposed a Federal Health Board that would be a foundation from which we could address all" healthcare problems.


About a year ago, Tom Daschle had to remove his name from consideration for the HHS post because of reports of inappropriate financial dealings and tax issues. The President then selected Kathleen Sebelius to head the HHS, but the administration was still committed to the blueprint found in Tom Daschle's book - a single-payer system with a Federal Health Board that controls it all.


In the current House Bill H.R. 3962, Section 241 (a) it reads: "There is hereby established, as an independent agency in the executive branch of the Government, a Health Choices Administration". The newly created Health Choices Administration is responsible for "the establishment of qualified health benefits plan standards under this title, including the enforcement of such standards".


This is the "foundation" that Tom Daschle was talking about. In his book, Daschle states that this board should be modeled after other nations like Great Britain. "In Great Britain, for example, the National Institute for Health and Clinical Excellence (NICE), which is part of the National Health Service (NHS), is the single entity responsible for providing guidance on the use of new and existing drugs, treatments, and procedures." So how does it work in Great Britain?

With the rapid advances in modern medicine, most people accept that no publicly funded healthcare system, including the NHS, can possibly pay for every new medical treatment which becomes available. The enormous costs involved mean that choices have to be made.
It makes sense to focus on treatments that improve the quality and/or length of someone’s life and, at the same time, are an effective use of NHS resources . . .
To ensure our judgments are fair, we use a standard and internationally recognized method to compare different drugs and measure their clinical effectiveness: the quality-adjusted life years measurement (the ‘QALY’) . . .
A QALY gives an idea of how many extra months or years of life of a reasonable quality a person might gain as a result of treatment (particularly important when considering treatments for chronic conditions) . . .
Generally, however, if a treatment costs more than [$32,290 to $48,435] per QALY, then it would not be considered cost effective.
In other words, medical treatment under the proposed healthcare system will come down to a mathematical equation based on cost effectiveness and an arbitrary judgment on your anticipated quality of life and how many years you have left.


Why should you care?
Regardless of what the "talking-heads" say on television, the final decision on your health care choices will be made by the Health Choices Administration. That decision will be a cost-based decision (i.e. is it worth the cost for the United States Government to approve payment for this treatment?). The question for you is, is the proposed healthcare system worth giving up your freedom to make your own health care choices?


What can you do? Here are four ideas. If you have more ideas, please send them to me so that I can pass them along in future journal entries.


1. You can write or call the offices of your Senators and Congressmen and Congresswomen. Ask them to explain the Health Choices Administration and on what basis, this newly created government agency will be making decisions for you.


And don't stop with just one phone call and one letter or email. Contact your representatives weekly or twice a month. At the very least, your representative will know that you are watching.


2. You can pass this journal entry on. It is the first of many. Hopefully it will educate and stimulate a good and noble people to action; the very same people described in the constitution as "We the People . . ." You are free to make copies and distribute them by hand or 'snail-mail.' Please make sure that the last paragraph of this journal is included with your copies so that individuals can contact me with comments or questions.


If you forward this in e-mail form, please remove the "FW:" from the subject line. Many people delete Email Forwards without even opening them up. Also, take the time to e-mail it to one or two individuals at a time. You are encouraged to send this to everyone in your contact list, but many spam filters block emails that contain too many addresses in the "To:" box.


3. Organize a trip to your representative's office (local or in Washington D.C.). By carpooling you can share the expense while making a stronger impact by arriving in greater numbers. By the way, if you haven't done so already, you should make at least one trip to D.C. in your lifetime. Go to the memorials; read the inscriptions on the walls; examine the statues and paintings. You will discover a strong Godly heritage, clearly on display and quite possibly forgotten by your representative.


4. If you are a person of faith, pray. Pray fervently for your nation and for her leaders. Pray daily or hourly. Pray for a good and noble people to wake up and take action. Pray also for those who wish to reshape America in a Progressive image - pray for their safety and protection, but pray that their efforts will be thwarted.


My name is Curtis Ferrell, and this is An American Journal In The 21st Century. You can find additional journal entries at http://clfnotes.blogspot.com. You can contact me at American_Journal@sbcglobal.net. If you do not wish to receive these journal postings, please email me so that I can remove you from my contact list or click here: Remove


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Thanks for reading!