August 20, 2009
Celebrity Death Panels
“And now, it’s Celebrity Death Panels,
that must-see, devil-may-care new game
show where citizens just like you beg
their munificent government
for life-sustaining health care. And
here's your host, bioethicist and
presidential health care reform adviser,
Zeke Emanuel!”
“Thank you, and hello, America! Let’s get
right into our game with our celebrity
death panelists, the One and Only Barack
Obama, the ever-unpopular Nancy Pelosi
and the irascible but never fun Harry
Reid.”
“Our first contestant is Harvey
Bucksraker, who needs a simple refill of
his insulin prescription. This otherwise
healthy 75-year-old former
pharmaceutical executive . . .”
“BZZZZZZZZZZZZZ!”
“What's up, judges? Nancy?”
“That's three thumbs down, Zeke.”
“Understood. No explanation really
needed.”
“Please! It's just a refill.”
“Mr. President, you have something to
add?”
“Zeke, we have to make some brutally
pragmatic judgments as to which enemies
. . . I mean citizens . . . are going to
get care. And sir, if you had sold more
of those red pills instead of the blue
ones, we wouldn't be in this mess.”
“All right then. As we wheel Harvey off,
let's bring in our next contestant. It's
little four-year-old Tiffany Sweet
accompanied by her pediatrician, Dr.
Macon A. Pointment. Tiffany’s situation
isn’t as dire, she just needs her
tonsils …”
“BZZZZZZZZZZZZZ!”
“Mr. President?”
“This is obviously one of those situations
where Dr. Pointment is
making decisions based on the fee payment schedule. Tiffany’s
having repeated sore throats and this
doctor is looking at the reimbursement
system and saying to himself, ‘You know
what? I make a lot more money if I take
this kid's tonsils out.’ Not getting
away with that chicanery here. Maybe the
kid has allergies."
“Sir, in fact, I’m not making any
more money for this, the surgeon is
doing the procedure. And it’s not about
sore throats, it’s about making her
breathing easier.”
“Harry?”
“Likely story. And that kid smells a little. How do we
know she’s not a medical tourist?”
“Well, too bad, Tiffany. Let’s meet our next two
contestants: Fallon Downe and Berndt
Over. They’re both over 90, suffering
from hip fractures and needing surgery.
Madame Speaker.”
“This is a tough one, Zeke. So we’re going to have a
run-off. Literally. The first one to
make it across the stage is hardy enough
to deserve the surgery.”
“OK, and they’re off. They’re hobbling and screaming
in tortuous pain . . . oh, and down goes
Fallon. It looks like she may have
broken her other hip. Berndt has
made it across! He’s grimacing in agony
and may be going into shock. But
congratulations, Berndt, you get a new
lease on life. Looks like Fallon is
going to need some medical attention,
though. Fortunately, our medical
attendant, Dr. Jack Kevorkian, is right
backstage. He’ll fix her up . . . with a
drip.”
“But now for our final player . . . Mrs. C. Nile. This
should be a no-brainer, literally. She’s
in the late stages of dementia, with
terminal cancer, but needs a pacemaker.
Nancy?”
“Zeke, that name sounds familiar. Isn’t she a major
Democratic Party contributor?”
“A cool quarter million last year.”
“That’s three thumbs up, Zeke.”
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