“The Obama recess appointment of rationing advocate Donald Berwick to head the key government agency that will apply the new health care law is disastrous news for the vulnerable, especially the elderly and the sickest of American patients,” said Burke Balch, J.D., director of National Right to Life's Powell Center for Medical Ethics.
Confirmation of Berwick would have faced strong opposition from pro-life Republican senators appalled by his open advocacy of government-imposed rationing of medical treatment. In a June 2009 interview with the journal Biotechnology Healthcare, Berwick said, “The decision is not whether or not we will ration care – the decision is whether we will ration with our eyes open.”
In an article in the May/June 2008 issue of Health Affairs, he called for “rational collective action overriding some individual self-interest” so as to “reduce per capita costs.” Lamenting that “[t]oday’s individual health care processes are designed to respond to the acute needs of individual patients,” Berwick wrote that instead government should “approach new technologies and capital investments with skepticism and require that a strong burden of proof of value lie with the proponent.”
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