A Difference Without A DistinctionBy Thomas E. BrewtonDr. Ezekiel Emanuel has simply changed the way he proposes to ration  healthcare. Dr. Emanuel, the brother of White HOuse Chief of Staff Rahm Emanuel,  is Special Advisor for Health Policy to Peter Orszag, the Director of  the Office of Management and Budget.Sara Palin and others annoyed proponents of a National Socialist  Healthcare scheme by noting the Dr. Emanuel has opined that rationing  medical care is a necessity.  In an effort to douse what has become a  raging forest fire of disapproval, White House spinmeisters have  concocted the following statement from Dr. Emanuel, quoted in the  Washington Times:http://www.washingtontimes.com/news/2009/aug/14/white-house-adviser- backs-off-rationing/?source=newsletter_must-read-stories-today_headlines"When I began working in the health policy area about 20 years  ago ... I thought we would definitely have to ration care, that there  was a need to make a decision and deny people care," said Dr. Emanuel..."I think that over the last five to seven years ... I've come to the  conclusion that in our system we are spending way more money than we  need to, a lot of it on unnecessary care," he said. "If we got rid of  that care we would have absolutely no reason to even consider  rationing except in a few cases."What is the distinction between rationing medical care and  eliminating care that the Federal government's health panels regard  as unnecessary?  In how few cases, on what criteria, would Big  Brother nonetheless ration care?The only truly and consistently unnecessary medical care, and the  costs are huge, is doctors having to order every imaginable test and  procedure to forestall malpractice litigation by the tort bar.  If  Dr. Emanuel, the President, and other officials of the Democrat/ Socialist Party really wanted to reduce medical costs, they would  legislate a stop to the tort bar's extortions.  They will not do so,  of course, because the tort bar is one of the Democrat/Socialist  Party's chief sources of campaign funding.Another extract from the Washington Times article, which also quotes  Dr. Emanuel's earlier essays advocating rationing of medical care:The charges of rationing, or concerns about his language in journal  articles, Dr. Emanuel said, is somewhat understandable given that he  was "writing really for political philosophers, and for the average  person it's not what they're used to reading, even if they've had a  good liberal education."[Note, by the way, that both Adolph Hitler and Benito Mussolini  qualify as political philosophers under Dr. Emanuel's definition]Nonetheless, a spokesman for Sen. Tom Coburn, Oklahoma Republican and  a practicing physician, said the senator remains "concerned about the  rationing provisions in the House and Senate bills."Coburn spokesman John Hart said: "On three different occasions during  the [Senate Health, Education and Labor and Pensions] committee  markup, Dr. Coburn and other Republicans attempted to insert language  prohibiting rationing."All three amendments were voted down, which suggests that Democrats  do, in fact, want to preserve the ability to ration care," Mr. Hart  said.