Dear Mr. Axelrod,
You are right! It is time for a reality check. I haven't reviewed the attachments sent to me by the Whitehouse because I am not interested in hearing about nationalized health care in any form whatsoever no matter who favors it. But, I did review a paper published in Lancet in January that speaks about health care rationing. The Complete Lives System, which I am certain that you are familiar with since Dr. Ezekiel Emanuel is an advisor to the President who is an advocate of a single-payor system, as he emphatically stated in 2003, and later.
If you put a single payor system together with his vision of health care rationing, it clearly has the potential to be obamatable (see case study). The author is a lunatic. This chilling paper advocates healthcare rationing on the basis of your ( no! excuse me, MY) value to society, with age and the ability to contribute (taxes?) as paramount considerations. The figure illustrates quite well the story line. Most people are not aware of this paper, but if they were and also understood the author's connection to the Whitehouse, they would be twice as mad as they are.
Not much can be said for a regime that says "if you hit us, we'll hit back twice as hard." Do it. Really! I encourage you guys to do it. I want you to get tough with voters. That is exactly want I want you to do. People will not forget statements or actions that reflect the arrogant attitude of this administration (and certain members of Congress) that the controversy has flushed into the open. So, anything that you can do to get tough, is just perfect!
The toothpaste is out of the tube. Every single term President has had a defining moment, and for many voters your debacle to promote nationalized health care could be it. And I want to thank you and the other Emanuel (brother of Ezekiel) for the mess that you created for yourselves and close with a case study.
John is 69 years old, retired, and in good health. The year is 2022. John is driving his car on a lonely road. A deer jumps out and he swerves sharply and loses control of the car and slams intro a tree. Another driver sees the accident and calls 911. John is taken to the hospital ER. Examination reveals multiple injuries including damage to liver and spleen and he has internal bleeding. A technician pulls his HIRS (health insurance rating score) card. John has a rating of 485. After the examination is completed the ER physician completes the HIRS assessment form and hands it to a technician. The technician enters the HIRS codes for John's injuries into a computer. He needs a HIRS rating of 625 to qualify for life saving intervention. They put John into a bed and he receives minimal support. He has no chance for survival. The hospital calls his wife to tell her that he will die today and she should make arrangements.