Will ObamaCare (MadoffCare) cover objectionable, responsibility-denying treatments?

Will Obama-MadoffCare cover bariatric surgery, sex-change operations, and chlamydia treatment? Look to other countries. The evolved systems of Brazil, England and Canada do. Ours certainly could not resist the impetus in the same directions. Will ours cover physician assisted suicide? Needle exchange for heroin addicts and medical marijuana, too? Abortion? How do you feel about paying taxes to fund these seven treatments?

Obesity surgery on the NHS is up 40% as doctors act on nation’s weight problem.

TV presenters Fern Britton and Anne Diamond have both admitted having surgery to help them lose weight and the NHS is now carrying out more of the operations than ever before.

By Rebecca Smith, Medical Editor
Published: 11:59AM GMT 25 Feb 2009

Obesity surgery on the NHS is up 40% as doctors act on nation’s weight problem. Photo: PA

A variety of methods, known as bariatric surgery, that can be used to reduce the size of the stomach or bypass it, including inflating a balloon inside the stomach, placing a band around the top and stapling a portion of it shut.

The NHS only carries out bariatric surgery on people who morbidly obese or those who are obese and have other health problems such as type 2 diabetes and heart disease.

In 2007/8 there were 2,724 finished treatments categorised as bariatric surgery, the majority in women, compared with 1,951 the previous year.

Overall hospital admissions for obesity also increased, reaching 5,018 in 2007/08, a 30 per cent rise in one year and almost a sevenfold increase in a decade.

MONTREAL, Feb. 6, 2009 (Canada NewsWire via COMTEX) — Jennifer Schultz and Josee Roy, cofounders of the Coalition against Morbid Obesity (http://lepoidsquitue.com), reacted strongly to the news that an agreement is about to be concluded between Ontario Health and an eminent Montreal bariatric surgeon. The agreement authorizes morbidly obese persons from Ontario to be operated in a Montreal private clinic with the Ontario government covering the cost of those surgeries. Meanwhile in Quebec, some 3,500 patients are on a waiting list awaiting a bariatric surgery. “Why are ..

RIO DE JANEIRO, Brazil – Brazil’s public healthsystem will begin providing free sex-change operations in compliance with a court order, the Health Ministry said Friday.

Ministry spokesman Edmilson Oliveira da Silva said the government would not appeal Wednesday’s ruling by a panel of federal judges giving the government 30 days to offer the procedure or face fines of $5,000 a day.

“The health minister was prompted by the judges’ decision,” Silva said. “But we already had a technical group studying the procedure with the idea of including it among the procedures that are covered.”

Federal prosecutors from Rio Grande do Sul state had argued that sexual reassignment surgery is covered under a constitutional clause guaranteeing medical care as a basic right.

On Wednesday the 4th Regional Federal Court agreed, saying in its ruling that “from the biomedical perspective, transsexuality can be described as a sexual identity disturbance where individuals need to change their sexual designation or face serious consequences in their lives, including intense suffering, mutilation and suicide.”

The Health Ministry said it would be up to local health officials to decide who qualifies for the surgery and what priority it will be given compared with other operations within the public health system.

Patients must be at least 21 years old and diagnosed as transsexuals with no other personality disorders and must undergo psychological evaluation for at least two years, the ministry said.

Gay activists applauded the decision.

“Transsexuals represent about 0.001 percent of the Brazilian population, but for this minority, sexual reassignment surgery is a question of life and death,” said Luiz Mott, founder of the Bahia Gay Group. “It is unjust and cruel to argue that the health system should concern itself with other priorities.”

NHS Chlamydia Screening Service at Boots –

Some Common Q&As NHS Chlamydia Screening Service at Boots – some common Q&As

How many stores is it available in?

All Boots outlets within London (about 200 stores) and the M25 area.

Why is it only available in London?

This is a pathfinder scheme being run by the Department of Health in conjunction with local Primary Care Trusts (PCTs) to assess the feasibility of a high street pharmacy based screening programme. The intention is that this method of delivery will improve access to this service for the target population of 16 – 24 year olds. The effectiveness of the scheme will be assessed throughout the two-year period.

How does the service work – what happens?

This is a free screening and treatment service for 16 –24 year olds.  They simply go to the pharmacy and pick up a urine test kit, which contains instructions on use.  They return the sample to the pharmacy who will send it to a lab for analysis.  They will then be sent the results to an address of their choice or be notified by telephone within 3 working days.  If their test result is positive for Chlamydia, the Chlamydia Screening Officer is informed, who will then contact the client via their preferred route.  The client will be offered free antibiotic treatment, which they can get, from either their local Boots pharmacist or other NHS routes.

Where are euthanasia and assisted suicide legal?
Oregon, Washington, the Netherlands and Belgium are the only jurisdictions in the world where laws specifically permit euthanasia or assisted suicide. In February 2008, Luxembourg passed a law to permit euthanasia and assisted suicide. However, the law will not go into effect until additional procedures are completed. Implementation is expected in mid-2009.

Oregon and Washington have passed laws permitting assisted suicide.(1) The Netherlands and Belgium permit both euthanasia and assisted suicide. Although euthanasia and assisted suicide are illegal in Switzerland, assisted suicide is penalized only if it is carried out “from selfish motives.”(2)

In 1995 Australia’s Northern Territory approved a euthanasia bill.(3) It went into effect in 1996 but was overturned by the Australian Parliament in 1997. Also, in 1997, Colombia’s Supreme Court ruled that penalties for mercy killing should be removed.(4) However the ruling does not go into effect until guidelines are approved by the Colombian Congress.

Oregon’s and Washington’s assisted-suicide laws do not allow anyone to “coerce” or use “undue influence” to obtain a request for assisted suicide. (43) However, there is absolutely nothing in the Oregon and Washington laws to prevent HMOs, managed care companies, doctors or anyone else from suggesting, encouraging, offering, or bringing up assisted suicide with a patient who has not asked about it.

Could euthanasia or assisted suicide be used as a means of health care cost containment?

Yes. Perhaps one of the most important developments in recent years is the increasing emphasis placed on health care providers to contain costs. In such a climate, euthanasia or assisted suicide certainly could become a means of cost containment.

These implications were acknowledged during a historic argument before the U.S. Supreme Court. Arguing against assisted suicide, acting solicitor general Walter Dellinger said, “The least costly treatment for any illness is lethal medication.”(34)
In the United States alone, millions of people have no medical insurance and studies have shown that the elderly, the poor and minorities are often denied access to needed treatment or pain control.(35) Doctors are being pressured by HMOs to reduce care; “futile care guidelines” are being instituted, enabling health facilities to deny necessary and wanted interventions; and health care providers are often likely to benefit financially from providing less, rather than more, care for their patients.(36)


One Response

  1. I’ve truly never witnessed anything like that

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