Selected excerpts, along with bracketed comments by Donald W. Miller, Jr., M.D.
When the federal government becomes the big HMO itself, test and treatment denials be the equivalent of death sentences for some, even many. The new health care reform law creates several methods that are likely to result in rationed care under the guise of “limiting expenditures,” or “keeping costs down.” [ “the big HMO itself.”]
About 40% of all American deaths now occurring in hospice. 
This book provides a rare glimpse of the realities of health care in America that you will find nowhere else [Journal of American Physicians and Surgeons ]
Because of the HIPAA privacy regulations, nobody interested in researching what is actually going on in hospice can get access to the data, so hospices that have an agenda can act without any outside interference or supervision. 
Ezekiel Emanuel, MD, who our President appointed Health Advisor, promotes the “Complete Lives System” that is being implemented to ration care. Donald Berwick, who our President appointed administrator of the Centers for Medicare and Medicaid Services, is a strong proponent of Comparative Effectiveness Research which will also be used to ration care. Under the new law, “Accountable Care Organizations”  are set up which will force very aggressive rationing practices by medical groups. [ Complete Lives System” Furthermore, ]
Independent Payment Advisory Board (IPAB) and the Patient-Centered Outcomes Research institute (PCORI), whose main activities will result in rationed care. 
Palliative care (symptom management).
There is one practice that is sweeping through hospices and being very widely used: terminal or palliative sedation. This involves permanently sedating the patient, allowing the patient to dehydrate and die. It looks outwardly peaceful as the patient is made to sleep in a medically-induced coma, but the patient’s death is the result. 
The top level policymakers have decided that people will die in hospice or palliative care units and that they will be pushed into hospice through a wide variety of means. . That’s the plan. If patients are hurried along toward death, the savings skyrocket! [ ]
The “culture of death” that promotes imposing death through euthanasia, assisted-suicide or the Third Way in hospice (terminal sedation) views the pro-life movement as “the enemy.” In fact, they view traditional American society as “the enemy,” something to be manipulated and defeated so that their goals can be achieved. It is clear that traditional American values are pro-life. The Declaration of Independence mentions specifically the right to life!
Its 1994 Charter for Health Care Workers specifically warns against depriving the dying of the “possibility of living his own life, by reducing him to a state of unconsciousness not worthy of a human being. This is why .” [ Two Weeks ]
But . The trusting family doesn’t know what happened. Sometimes unneeded laxatives are given to promote uncontrolled diarrhea and contribute to life-threatening dehydration. [ ]
Patient “autonomy.” “Patient Self-Determination.” Haven’t we heard that before? We have. Again, this is the language being used today to justify the legalization of assisted-suicide, the “right to die,” and has been one of the three principles of the federal ethics set forth by the Congressionally-created Belmont Commission in 1978. 
.” “.” And it now is the “nontreatment of choice,” implemented in many hospices, hospitals, and nursing homes around the country making “sure” patients who just die “soon enough” actually die. To make it seem more humane, sedation is added. [ ]
There is a reason the major media refuses to publish the truth about hospice, palliative care, health care reform and stealth euthanasia. Most of the major media outlets like the Washington Post, ABC News, CNN and others have direct connections to those who support the culture of death approach: George Soros and others. Soros has poured millions into the major media and active journalists are on the boards of directors of Soros-funded organizations. In addition, many journalists support the Third Way stealth euthanasia practiced in many hospice and palliative care units (just “let him go”) and the legalization of euthanasia and assisted-suicide. [ ]
HIPAA was “sold” to the public with the idea it would protect patient’s private personal information. HIPAA forms a complete wall of silence about what goes on behind closed curtains in doctor’s offices, hospitals, in hospice agencies, nursing homes, assisted living and any clinic of any sort. In 2009, the “HITECH” Act modified the HIPAA Privacy Rule to give it dramatically increased penalties: It’s about the silencing staff that sees what goes on. Employees. Health care workers are going to talk about problems in health care with the public (say through a news story) unless they wish to risk everything on a casual comment. [ ]
The Washington State “Death With Dignity Act” allows physicians to write prescriptions for a lethal drug and orders the medical examiners to falsely list the cause of death as the illness the patient was suffering from, rather than the lethal drug they took to kill themselves. Falsification of death certificates is nothing new, but openly ordering the medical examiners to lie is new. We hear about falsification of death certificates often from families who report their loved one was killed in a hospice or palliative care setting and then the cause of death is listed as cancer, Alzheimers or some other illness. Just as in the case of falsification of medical charts: . It doesn’t matter that it’s all a complete lie. If everyone in government simply accepts what the record says, that is what the “official” truth is. Something that could have come right out of the Soviet Union’s propaganda machine. [ ]
Those who are pushing reform forward believe strongly in the need for entitlement reform. They will ration health care through the “Complete Lives System,” “Cost Efficiency Research”, and by encouraging physicians with financial incentives to get elders into hospice and palliative care sooner than they have been doing. 
The President appointed Donald Berwick, the director of the Centers for Medicare and Medicaid Services (“CMS”). Berwick has a long history of supporting health care reform including the rationing of care. In 1994, he wrote “Eleven Worthy Aims for Clinical Leadership of Health System Reform” and suggested that:
Berwick stated very plainly in a 2009 interview, “Rethinking Comparative Effectiveness Research” that he supports its use to ration care and bring costs down: “The decision is not whether or not we will ration care–the decision is whether we will ration with our eyes open.”[ ]
The real question is whether decisions made by Big Government about the availability of the care you need will be in your interests or the interests of an impersonal government evaluation of what “people of your age” should have access to. Remember, “Comparative Effectiveness Research” may sound reasonable at some point, but when coupled with Ezekiel Emanuel, MD’s “Complete Lives System,” it’s a recipe for disaster. And these types of ways of thinking, so shocking to ordinary citizens, have been promoted for many years. They will be pushed forward by many of the elite whether or not the health care reform law is declared unconstitutional by the Supreme Court. 
The Independent Payment Advisory Board (IPAB), (also mentioned in the health care reform law as the “Independent Medicare Advisory Board”) with its Presidentially-appointed 15 members, can amass unimaginable power to limit care provided to Medicare recipients. Mark Hemingway has written an April 14, 2011, article, “Obama’s Medicare Plan: Rationing by Bureaucrats — The president’s big plan for Medicare involves unelected bureaucrats making life or death decisions.” Hemingway states that “ ,” and that “ . [ ]