Few people hold a more uncomfortable place at the health care debate’s intersection between nuanced policy and cable-ready political rhetoric than President Obama’s special health care adviser, Dr. Ezekiel J. Emanuel.
Largely quoting his past writings out of context this summer, Betsy McCaughey, a former lieutenant governor of New York, labeled Dr. Emanuel a “deadly doctor” who believes health care should be “reserved for the nondisabled” — a false assertion that Representative Michele Bachmann, Republican of Minnesota, repeated on the House floor.Former Gov. Sarah Palin of Alaska has asserted that Dr. Emanuel’s “Orwellian” approach to health care would “refuse to allocate medical resources to the elderly, the infirm and the disabled who have less economic potential,” accusations similarly made by the political provocateur Lyndon H. LaRouche Jr.
In fact, Dr. Emanuel has written more than a million words on health care, some of which form the philosophical underpinnings of the Obama administration plan and some of which have enough free-market elements to win grudging respect from some conservative opponents.
The debate over Dr. Emanuel shows how subtle philosophical arguments that have long bedeviled bioethicists are being condensed, oversimplified and distorted in the griddle-hot health care debate. His writings grapple with some of the most complex issues of medical ethics, like who should get the kidney transplant, the younger patient or the one who is older and sicker?
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