Politicizing Medicine, Medicalizing Politics

· Saturday, November 28, 2009

I’m not a doctor. I don’t even play one on TV. Nor is Steve Pearlstein a doctor. Pearlstein is the respected business columnist of the Washington Post. His weekly column scorched President Obama’s Health and Human Services Secretary Kathleen Sebelius for her decision to override an impartial expert panel’s advice on mammograms.

He wrote: “Sebelius did a marvelous job...of undermining the move toward evidence-based medicine with her hasty and cowardly disavowal of a recommendation from her department's own task force that women under 50 are probably better off not getting routine annual mammograms.”

How does Steve Pearlstein know which advice is better for women--an HHS panel of medical experts or the Secretary of HHS? He doesn’t and I don’t. One thing is clear, we’re going to get this kind of back-and-forthing every week from now until the day we die unless the government takeover of health care is stopped.

President Obama’s chief adviser on health care is Dr. Ezekiel Emmanuel, brother of White House Chief of Staff Rahm Emmanuel. Dr. Emmanuel thinks the problem with burgeoning health care costs is that pesky Hippocratic Oath. Too many doctors are too concerned about their own patients; they’re not looking at the bigger picture. In a world of scarce resources, wouldn’t it be better to take our chances that some women 41-50 will get breast cancer than to devote a disproportionate share of society’s total resources to MRI’s for them. We could treat a lot of diabetics for what it costs to save a few women from breast cancer. Do the math. That’s the Zeke approach.

It’s probably really convenient that Zeke and Rahm are brothers. That way we can apply Chicago-style politics to your health care needs. You won’t have many choices under ObamaCare. But you don’t have many choices for Mayor in Chicago, either. And they like it that way.

One thing not being mentioned in this week’s battle over early detection for breast cancer is the abortion-breast cancer connection. Abortion can increase the likelihood of a woman developing breast cancer. So can use of the contraceptive pill.

These are not things you are likely to hear in this debate. Why? Because the fight to defend human life has already politicized medical care in this country.

Drs. Joel Brind and Angela Lanfranchi are highly educated medical and researchers. They head the Breast Cancer Prevention Institute. Note their emphasis on prevention. It’s a word we rarely hear in politicized discussions of breast cancer.

President and Mrs. Obama placed a giant pink ribbon outside the White House last month. It was breast cancer awareness month. Is there anyone in the U.S. who is not aware of breast cancer? And liberal blather about how men just don’t get it, just don’t care about breast cancer is nonsense. Men have mothers, wives, daughters, and sisters whom we love. (Men, by the way, can get breast cancer, too.)

We need to pay greater attention to prevention strategies. Drs. Brind and Lanfranchi offer common sense recommendations, including these: 1. Reduce exposure to estrogen (such as that included in birth control pills, patches and injectable or implantable hormones). 2. Don’t smoke. 3. Exercise. 4. Maintain early body weight. 5. Have children earlier in life. 6. Breast feed your children. 7. Avoid induced abortion. 8. Avoid induced premature deliveries.

You can get more detailed information from the Breast Cancer Prevention Institute at 1.866.622.6237 (1.86NO CANCER) or by going online to www.bcpinstitute.org. Most of the debate over ObamaCare has focused too narrowly on some select issues--subsidies for abortion, the so-called public option (government health care), or coverage of illegal immigrants.

These are important questions, to be sure, but they’re only three of the hundreds of reasons why we should resist ObamaCare. We need to see how politicized medicine is simply bad medicine. We need to understand that politics is not the best place for decisions about your health care needs. We need to encourage those doctors, nurses, and pharmacists who uphold the Hippocratic Oath. They are not working for all of society. They hold their obligation to you, their patient, as a sacred trust. Isn’t that what you really want in a health care provider?


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Comments

Steve

As a healthcare provider, I also see this emerging politicization of our healthcare (which follows education, business, etc). It's almost as if the HHS is saying: "Don't ask too many questions". The best medicine is prevention, and also the most cost-effective, and where a open line between patient & provider is advocated above all else.

Posted November 28, 2009 at 9:18:52 AM


SULLY

As usual, Mr. Blackwell delivers yet another outstanding article, this time concerning Obamacare (a.k.a. "Hussein the Baby Killer" Care) in general, and mammograms, in particular. His level-headed, rational prose cuts through the liberal B.S. and gets right to the root of the matter. I think that politicizing anything eventually leads to its destruction, and healthcare is no exception. Human history proves this point time and time again.

I believe Mr. Blackwell's operative paragraph is the one which illuminates the word "prevention". This is essential. It is this basic, foundational concept upon which the administering of healthcare should be built upon. Do people really believe that a few depraved Chicago hacks have their best interests in mind concerning healthcare? Concerning anything? Scary.

It is truly refreshing to read his perspective. Mr. Blackwell, sir, you are a Great American!

Posted November 28, 2009 at 10:04:31 AM


Dr. Wayne

Things got so bad in 1998 that I retired rather than choose whether to mistreat my patients or lie to the government about what I was doing. Isn't anyone interested in learning why there is an increasing shortage of primary care doctors and rural hospitals? Check on government interference and you'll find the answer!

Posted November 28, 2009 at 4:06:43 PM


Frank E. Waterstraat

11/30/09

why does one expect anominee like Sebelius to bring

anything but honor to the job Obuma gave her,obuma

being from the political cesspool "CHICAGO".She'll

be secretary to Dr ZEKE EMMANUEL another obuma pick

he is the chief of obumacare,To hear his speeches

one would think he never heard of the hippocratic

OATH.CHICAGO HEARTHCARE!!

Posted November 30, 2009 at 3:05:53 PM


MichaelSSEC

Excellent! Mr Blackwell writes another outstanding column which is why I have come to look forward to reading his work.

Mr Blackwell is exactly right. This sort of politicized back-n-forth over what's correct will happen all the time under Obamacare. Did the HHS try to reduce government costs by re-ordering the recommendations for women to get mammograms later in life? Or did Ms Sibelius cave to public outcry and countermand her office's money-saving recommendation? Either way, it's not science and it's not medicine. It's politics.

That's hardly the first story in which government bureaucrats put money ahead of patient care. Isn't that what Obamacare advocates accused the insurance companies of doing? How is it "evil" when insurance companies allegedly do it, but it's "compassionate" when Obama's cronies do it?

These announcements couldn't come at a better time, as the Democrat-ordered Senate goes through the motions of debating Obamacare. America can see what putting the government in charge of doctors will buy us. Robert Reich said it succinctly: "We're just going to let you die."

Isn't it funny that the three things most responsible for the rising costs of medical care in America are NOT fixed in Obamacare? Tort and malpractice -- not only not fixed but unleashed so that trial lawyers make even more money than ever. Expensive new technologies -- not reduced in price, merely rationed so we not only still have the high cost but now a lot of us won't get the services either. And government meddling in what's covered -- made 1000X worse than ever, which will drive costs through the roof faster than before.

BTW, if anyone still thinks Obamacare is such a wonderful idea, why won't Congress use it? They're exempting themselves and their families. Why would they force us to use a system they won't use themselves?

Posted November 30, 2009 at 8:04:23 PM


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