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Stephen Hawking likes his "Death Panel" Health Care just fine, thanks


Turns out that the world's best-known and most health-challenged physicist thinks that his single-payer health care system works just fine.

"I wouldn't be alive today if it weren't for the NHS. I have received a large amount of high quality treatment without which I would not have survived."  ---Stephen Hawking, August 11, 2009

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Here's the background for this comment from Mr. Hawking.

Investor's Business Daily recently wrote an editorial which contained the following statement:

"People such as scientist Stephen Hawking wouldn't have a chance in the U.K., where the National Health Service would say the life of this brilliant man, because of his physical handicaps, is essentially worthless."

The statement has been removed from the editorial since its original publication. Apparently the rigorous research team at IBD didn't realize that Hawking is British and has been the recipient of British health care during the whole time he's lived longer than seemingly any other ALS patient! 

I figured that a frequent health care user as smart as Stephen Hawking would probably have an opinion on the subject of "Death Panel" medicine, so I went on his Web site and sent him an e-mail asking him about it. His personal assistant was kind enough to forward his response, which was:

"I wouldn't be alive today if it weren't for the NHS. I have received a large amount of high quality treatment without which I would not have survived."

She also said he didn't want to do interviews on the subject but does feel quite strongly about it.

So there you have it. The world's smartest sick guy isn't at all worried about his "socialized" medical care. Maybe the rest of us shouldn't be, either.

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One additional note: being a wealthy guy, Hawking may or may not have used some treatments not readily available to most people. His overall sentiment, however, remains the same--he's received high-quality care from the NHS.


60 Comments

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You know what's really stunning beyond the the completely over the top factual error. There are people who actually take investment advice from these people.

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Yup. Bush League--pun intended.

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Thanks for actually contacting Hawking and getting his take on the IBD f@#kup erica. Brilliant!

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Thanks Miguelitoh2o--I was so thrilled to receive the reply and to get the ok to post it here!

(In the face of all this nonsensical posturing, it's important to remind each other that smart people who actually give a rip tend to come down on our side of this issue.)

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It's awesome. Has this made the front page on TPM? If not, we ought to contact Josh and co and encourage it.

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It's up - with a link to this post:

http://tpmdc.talkingpointsmemo.com/2009/08/hawking-ironically-my-death-panel-saved-my-life.php?ref=fpb

Citizen journalism! Major kudos all the way around!

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heh, guess I should have looked before I typed. That's great!

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Awesome! Tres cool getting a quote.

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The "Death Panel" smear is a vicious and dishonst political tactic, but it is based on a reality so unpalatable that reform proponents are afraid to address it. Specifically, in a world of limited resources, society cannot afford to pay for every treatment that might benefit every person in every circumstance. This implies not "death panels", but rather guidelines that help both individual practioners and those charged with formulating insurance benefits to decide how to allocate resources where they will do the most good. That, of course, means denying coverage to some people even if they might benefit from it.

The reality is that current healthcare does this to an even greater degree, and more inequitably, based on abillty to pay. The problem is that no-one wants to admit that even a reformed system must make judgments rather than creating a utopia where no-one will ever be denied anything.

Until we start talking and acting like adults, "Death Panels" will continue to dominate the political rhetoric.

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Well, we already have a "Death Panel." It is called an insurance company.

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Yes, indeedy, we have already have those death panels. Cancer Girl's Lawyer Blames CIGNA For Her Death.

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I just worry that leveling accusations at reform oppponents will be an inadequate defense against the "death panel" argument. It would require instead an informed discussion of exactly how future decision making would be guided - whose illness would be covered by insurance and whose would be denied.

I haven't seen that discussion attempted much by the Administration, or even here. Until that happens, I expect "death panels" will continue to pervade the exchange of views between both sides.

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I just got back from a "town hall" meeting with Tom Perriello. I was appalled at those holding up signs with Obama with a Hitler moustache, and people claiming that "Granny is in his sights." I got into an argument with a guy with one of those signs and I reminded him that Democrats had fought for Social Security and Medicare, against the republicans, who tried desperately to prevent both. His answer? "I am a Teddy Roosevelt Democrat, and I don't want socialist, fascist health care." I responded that he is NOT a Democrat at all, because a Democrat doesn't call someone a fascist and a socialist at the same time because they are not that stupid! AND I reminded him that Obama is neither!

To say that Democrats don't care about the elderly is ignorant at best, and malicious at its worst. I saw posters with our president depicted disgustingly as the JOKER proudly displayed.

And you

... just worry that leveling accusations at reform oppponents will be an inadequate defense against the "death panel" argument.

There IS no argument, just like there is no argument about where Obama was born! Is there an argument about gravity, Fred?

As long as you continue to grant deference and respect to malicious liars, we will be stuck where we have been for the last 2 decades. In case you accuse me of hyperbole by calling it lies, have you heard any of Potter's testimony or interviews?

OK, I have a challenge for you: Name ONE Republican who spoke as you do of continually turning the other cheek; of respecting the other's ideas; of crossing the isle (and doing it -- I know McCain spoke of it, and so did Palin but they don't count because THEY were lyiing). Please. Educate me.

I suppose you've heard of the K Street Project that was designed to kill any Democratic influence AT ALL. What are your comments about that?

And here you go again, making it seem that we are the bad guys:

I haven't seen that discussion attempted much by the Administration, or even here. Until that happens, I expect "death panels" will continue to pervade the exchange of views between both sides.

Are you saying that the administration has to disprove the completely bogus, dreamed up "death panel" lie to stop this mess? If so, I have a question for you:

When did you stop beating your wife?

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The problem, CVille, is that "death panels" are not bogus, but are an essential ingredient of the reform package. The termm "death panels" is a malicious attempt to discredit them and is hardly balanced, but the panels themselves will be a reality.

That's why I believe it's counterproductive to deny their existence rather than to explain the realities facing a healtcare system that must make judgments about what it can or can't insure.

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Well it this means it is time for us to part company:

The problem, CVille, is that "death panels" are not bogus, but are an essential ingredient of the reform package. The termm "death panels" is a malicious attempt to discredit them and is hardly balanced, but the panels themselves will be a reality...

"Death Panels are not bogus, but are an essential part of the reform package..."

with friends like you we really don't need enemies. How dare you?

Making intelligent decisions about how to allocate care is one thing, but "DEATH PANELS?" Forget it!

I am ready to buy you for what you are worth and sell you for what you THINK you're worth, (old southern saying) You are truly on the wrong side, and I am disappointed; I didn't think that was the case, even with your pretentious language. I fell for your "voice of reason," but now I don't believe a word of it. I think you are a mole.

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Actually, being a mole is the best explanation for your completely unemotional reaction to everything. You are so bland because you are making your point by sitting back and letting everyone else get emotional.

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Fred,

Just a suggestion: if you were to stop referring to a panel of medical professionals as "death panels" it would be helplful - even in quotation marks on TPM where people know better, it doesn't serve to further the discussion.

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That's the problem as I see it, kfreed, they don't know better. Many deny that the proposed legislation includes panels charged with making decisions that will have life and death consequences. However, if I phrased it that way, my experience tells me it would be ignored. By calling them "death panels", I succeed in getting denounced, but I also succeed in getting some people to pay attention to the fact that reform opponents are referring to something very real rather than imaginary, and that denying that reality puts one on the weaker end of the argument.

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I can hardly believe your words, which are condescending, obsequious, and ...what is that word I'm looking for? Oh, yeah:

WRONG!

That's the problem as I see it, kfreed, they don't know better.

Are we, at TPM the ignorant "they" to whom you refer?

Many deny that the proposed legislation includes panels charged with making decisions that will have life and death consequences.

Do you mean, as insurance companies now do, and as it is NOT WRITTEN IN ANY BILL THAT HAS BEEN APPROVED UP UNTIL NOW?

However, if I phrased it that way, my experience tells me it would be ignored.

Oh, Fred, you must be so weary with all the ignorant people who just don't "get you!"

By calling them "death panels", I succeed in getting denounced, but I also succeed in getting some people to pay attention to the fact that reform opponents are referring to something very real rather than imaginary, and that denying that reality puts one on the weaker end of the argument.

You are on the wrong website for this kind of bullshit. We are not idiots.

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Fred, what exactly is/are the entity/entities you are referring to as “death panels”?

I’ve heard discussion of expert panels to make recommendations regarding care, but everything I’ve heard sounds to me very much like the outcomes research I used to be involved with when I was a database manager for a small unit at a large hospital (I was both the programmer/analyst and the data manager for the project and worked closely with clinical staff). We were always looking at outcomes relative to treatment paths (lots of critical path analysis) and we were always looking at our mortality rates and morbidity rates and readmission rates (this was a surgery unit). Results from this kind of analysis help to decide what practices work best, so you can discard ineffective practices and implement effective practices.

If this is the kind of panel you are talking about, there’s a great deal of difference between this kind of panel making decisions about best practices after analysis of data, and a “death panel” of people who look at individual patients and make decisions about whether those people “deserve” care. One looks at data from past patient cases to find ways to improve care for all patients and potential patients. The other looks at an existing patient to make a decision about care for that patient rather than having the patient and his/her doctor make care decisions.

I don’t have a problem with a panel looking at outcomes research and recommending best practices that can be applied generally; I do have a problem with a “death panel” reviewing individual cases and deciding the patient’s “worthiness” for care. There’s more scope for discrimination in the latter kind of panel since you’re looking at specific individual patients.

Or is there some other kind of panel (other than these two kinds) that you are referring to?

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Ah but Fred, Obama's incremental approach assures that insurance companies can still get a lot of the blame for the whole "death panels" thing, does it not?

With a more rapid change to a system more controlled by the government, then the government would more likely get much of the blame?

Back during the primaries, when Maggie Mahar was posting here on Clinton's and Hillary's health reform plans, I was actually thinking that there was this sort of intentional pre-emption in both of their plans.

Both knew the realities of what had to eventually happen, Hillary possibly even much more than Obama's people, and they saw incrementalism as the answer to the way the real horror of the whole situation could best be introduced to a voting public, without causing a detrimental counter-reaction (i.e., throwing the bums out that caused all of it and dis-enacting legislation) to getting a reform process moving.

All countries are facing this problem of the cost of possibile treatments far outweighing the ability to offer them to every citizen, and health care costs jumping astronomically as a percentage of GDP, especially with the boomer bulge. Part of our problem is that we starting out so far behind other countries that the changes needed are so drastic, and the depth and breadth are not well understood. The long term big problem is too complex for many voting minds to grasp or they are in denial about it; if it seems that things have gotten a bit worse, there is the tendency to blame whatever change was recently instituted to deal with the long term problem.

If insurance companies are still around, chances are they get blame, too, you see? And maybe more become sold that more government regulation and intervention is needed, you see?

There is something about the way both Hillary and Obama operated politically that made me think that they could be this Machiavellian about the incremental plans they proposed. I also think Obama's approach to selling has indicated that this might be the case as well--he has this sort of "what will be will be" attitude about it as if he knows this is just step one in a decade long process or longer, it's about the public grasping in stages what needs to be done, and learning who and what the problems really are, and one can't predict how that will play out, you just have to take those cards as they come.

For instance, I see you advocating honesty about the true Medicare situation elsewhere. But politically we are still at a stage where the "third rail" rules are in effect for most politicians on that--they don't dare, if they did, they wouldn't be effecting any change of any kind, they'd be out of office.

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First, artappraiser, I'm eternally grateful to you for being willing to bring some wisdom to this topic. I understand the challenges facing politicians, and I hope you're right that Obama has plans that extend beyond the current proposals. If he doesn't, American healthcare will come closer to collapse with every passing year.

My ulterior purpose here is not to influence Obama, who I understand rarely reads TPM blogs, but to light a fire under the people here who love to argue rather than inform themselves about the realities that the politicians must address sooner rather than later. If you visit the following link, I think you'll find that the politicians already know all these things, but if the public could be equally well informed, the political elite might have less trepidation about acting on them:

http://www.concordcoalition.org/issue-briefs/2009/0521/long-range-forecasts-health-care-costs-ominous-and-maybe-even-optimistic

Finally, I expect that when tempers cool, even non-expert but intelligent members of the public will be receptive to intelligent discussions about the need to make judgments about health insurance allocations in a world where not everyone can have everything.

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Oh, get over yourself. You are blown. You are a mole.

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Fred, you may know every last little detail of health care reform, right down to the "reality" of death panels. But in politics, the last little detail is left to the staffers that actually write the policy and isn't worth much on the political street itself.

"Politics ain't beanbag", as Josh likes to say. Neither is it the last little detail. For you to continue to insist on the "reality" of death panels may be very rational, but politically it's beyond stupid. As Cass Sunstein, the rationalist, says: "The general trick is recognizing that there’s less Immanuel Kant, more Homer Simpson, in each and all us than we’ve been taught."

That's especially true in a country where Homer is far, far better known than Kant. Just sayin'.

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is that "death panels" are not bogus, but are an essential ingredient of the reform package.

I've come to realize you have zero fucking clue what you are talking about. You use a lot of words, but are totally full of shit. Did you study to become such an asshat - or were you born that way? What exactly IS a fucking "death panel"?

And also too. Also, what is the "reform package" in your mind? Juz curious ... got a link to this "package" you seem to be able to discuss with definitive certainty?

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"It would require instead an informed discussion..."

Informed discussion? In American politics? Surely you jest.

;-)

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A public health system requires less rationing than the current system does, because it does not need to extract profit instead of covering people.

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Lies, damn lies, and bullshit. haahahaha

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Good job, Erica. Try forwarding the assistant's reply to the White House. Can't hurt!

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Great job! I think it's wonderful that you got a response from Dr. Hawking on this! I wrote about it on my blog. :) http://debunkerhill.com/

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I will do that--thanks!

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Sorry, that was meant to be a reply to seashell.

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CatM, thanks for spreading the word. I do think it's important that there are lots of places in the world where this whole "death panel" responsibility HAS been taken on by governmental entities, and smart people think it's ok.

(With respect to Fred, CVille and ArtAppraiser who want to see it done right in our particular case.)

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As always, the issues of end of life care, futile care and rational cost benefit analysis of care are far more complex than nearly anyone who has not been there can ever get.
After 27 years as hospital RN, there are certain facts I can assure you are true:
1. We wildy overuse some kinds of care on some kinds of patients, while underusing other kinds of care on other kinds of patients.
2. Most of the time, the care that is expensive, unneeded and futile is not wanted by the patient or to their benefit, but happens simply because of inertia built into the system. The old lady is in the hospital for a problem with one organ system. A different organ system shows signs of failing. Her main doc calls a specialist in that organ system. The specialist orders (expensive) tests to more clearly define the nature of the failure. A correctable problem is found, for which there exists a (expensive) procedure. None of these things happen because the doctors are venal or greedy, but simply because they are doing what they are trained to do. Every specialist is looking at his or her piece of the puzzle, and no one is looking at the fact that these various organ systems exist in the framework of a dying 89 year-old.

Our system is vastly short on primary care and vastly overloaded with many specialists. If a lot of specialists exist, they will do what specialists do, which is to say specialized tests and procedures.
We don't need no stinking panels, we need a new ethic in the way doctors are trained and medicine is practiced and a much different balance of primary vs specialty care. Best way to get there? Do what they do in France: make medical school really hard to get into, but free or nearly so. Our docs come out of school with a quarter million in student loans, and they naturally gravitate to lucrative specialties which in turn leads to the overuse of those specialist skills. And by the way, the French cover everyone, have costs that total 60% of ours per-capita and do not have any "panels" telling doctors what they can or can not do.

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I think you're partly right, Chico, but the panels are needed for two reasons - first, individual practitioners need practice guidelines (not legal requirements) to inform them what works and what doesn't, and second, because the system itself needs reforming to increase the ratio of primary care physicians to specialists, and replace fee for service with a paradigm that rewards results rather than the number of tests and procedures performed. I don't know how the French system decided on what benefits to provide in its universal insurance, and I would be surprised if advisory panels were not part of their system design. However, they insure only basic benefits, and most of the population then buys private insurance for more complete coverage.

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The guys behind IBD are also the guys behind the so-called "CANSLIM" method for picking stocks. Hint (if you needed it): CANSLIM doesn't work.

Or, as I like to put it sometimes, the fact that IBD stands for both Investors Business Daily and Irritable Bowel Disease may not be a coincidence! :-)

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Awesome, Erica, just Awesome!

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Thanks Obey and Ready to Blow....I'm pretty tickled myself. Now that it's out there, I hope I don't get an email from the world's smartest guy chastising me for opening a can of worms!

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Great post! I rec it and your initiative!

If only Stephen Hawking could attend a few heath care town halls via satellite or pre-taped video...

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Monday night's Daily Show did a great take-off on the "Death Panel" issue. Samantha Bee argued that gov't should stay out of the Death Panel business because the private for-profit insurance industry was already running the Death Panel business more efficiently that gov't could. John Oliver countered that we need a public option because everyone has a right to access the Death Panel, not just those who can afford insurance.

Sign seen at a Town Hall: "I'm not discussing my end of life issues with anyone."

So it goes.

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What a fucking twit. (Directed, of course, at the author of the sign...not you).

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Technical issue:

British system isn't "single payer". It's "government run". The Brits actually have all NHS doctors on the guvnor's payroll, which is different from "single-payer".

Single-payer is the Canadian system: essentially government health INSURANCE. Doctors are private, as in the US, and make claims to the government insurance agency, which is funded by taxes.

Single-payer is being floated, albeit quietly at the moment, as an option for the US. Government -run isn't.

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Aren't they both single payer, Global, albeit of different types - similar to the differences here between Medicare and VA healthcare?

Both pay from a single source, but Medicare pays private practitioners for services, while the VA pays salaries to physicians who are in its employ.

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thanks, that's helpful

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I know that there's a certification process for journalists. And that we are talking about an opinion piece here. But when a "journalist" give complete bogus opinion in a new source, who is punished? Should there be a bar for journalism?

Ok, you completely lied there. You've been given a warning. Oh, again? You are no longer certified.

Just think that there ought to be standards that are actually policed.

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And the British people seem happy to chip in through their taxes - to foot his bills!

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Stephen Hawking, about to become the recipient of the Medal of Freedom is indeed British.

Nevertheless, it is true that there is some rationing of care in the UK National Health Service - just as there is in every health care system where a person other than the recipient foots the bill.

Insurance companies do not exist to make a loss on their underwriting and they write their policies and their exceptions accordingly. Pharmaceutical companies also exist to make a profit.

Our National Health Service is far from perfect but at least there is an open debate on cost/benefit issues - see the web site of the National Institute for Health and Clinical Excellence (www.nice.org.uk). One trend I have noticed is that when a view is taken that a particular drug does not pass a cost/benefit review, the drug company often offers to make it available at a lower price.

With remedies becoming available for maladies wholly untreatable in 1950 and with an aging population with increased life expectancy how to get the most out of every pound or dollar spent on health care is a problem which is not going to go away in any health care system howsoever constituted.


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I like the note that drugs not passing the cost/benefit review may then be offered at a lower price.

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Here's a NYT article describing how drug cos. have dropped prices in order to gain access to GBs healthcare system. These are the kind of cost savings that will be all but impossible to realize with the proposed polyglot approach to healthcare we are seeing emerge from congress.

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I don't think enough if being made of this:

"The statement has been removed from the editorial since its original publication."

Isn't this incontrovertible evidence that, not only does IBD hire incompetent editorial writers, it also hires unprincipled editors? If a writer makes that egregious an error in his piece, it calls into question his larger qualifications. Real newspapers would add a footnote while retaining the original paragraph. For an editor to remove the error like this, after the fact, with no note admitting anything, suggests that dishonestly propping up the reputation of the paper is more important to the managers of IBD than letting their readers have the best information with which to judge the quality of the content.

I know that's not shocking, to suggest that a right-wing media outlet would be unprincipled, biased and manipulative... but I just thought it bore pointing out.

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It's kind of like a hit and run driver, isn't it?

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They did have a note that a previous version of the editorial had implied that Stephen Hawking did not live in Britain. But since the altered editorial didn't mention Hawking at all, the note must have been a bit mystifying to readers.

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They were looking for it to be a rallying point for the Party of Thugs, but soon realized they stepped on the toes of a prominent, but severely disabled Englishman that many in the world have sincere respect for. What they did was like peeing on Pope JohnPaul's grave, then posting it on You Tube thinking it would be funny and everyone would get a chuckle over it.

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One last comment.

When did it become acceptable and civil to use someone, such as Professor Hawking and his disability, as a political tool without first asking for his permission? Just because he's English isn't an excuse for bad taste and judgment. And it's not like Professor Hawking goes about promoting his disability to the public for sympathy either. It's a personal and private mater and has no business being used as a political attack tool by an American political party to score political points on a legislative issue. Too bad the MSM hasn't an ounce of civil decency left in them to attack and berate IBD for their callous and unethical behavior. It doesn't increase the profit margins enough to put any effort into attacking a rival for being a cad.

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One additional note: being a wealthy guy, Hawking may or may not have used some treatments not readily available to most people

This is an important point, thank you for adding it. For an example, I think it would be hard to find a nation where everyone with aphasia and limb paralysis from, say, a stroke, gets a Hawkings talking machine as part of their treatment. It's tragic in a way that rhat's not the case, not the least of which so families can communicate with stroke victimes about their wishes about further treatment, but to my knowledge, it's not the standard for society to pay for it. The rich will always have access to better "quality of life," it's the point of much commerce to come up with new expensive things that do that.

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I agree, and although I'm on the fence about the use of the "Death Panel" term, I do think that if our (eventual) medical system wants to provide better quality of life for the living without going broke, that may have to be balanced against some of the not-very effective or overly invasive treatments, which may need to go.

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Was this really a response to you? Because this writer over at the Guardian claims it was a response to him:

http://www.guardian.co.uk/politics/2009/aug/12/birthers-stephen-hawking-paul-rowen

We say his life is far from worthless, as they do at Addenbrooke's hospital, Cambridge, where Professor Hawking, who has motor neurone disease, was treated for chest problems in April. As indeed does he. "I wouldn't be here today if it were not for the NHS," he told us. "I have received a large amount of high-quality treatment without which I would not have survived." Something here is worthless. And it's not him.

_________________________________

I posted about this on my blog believing your post, so I really hope that you are the one who got this information and not the Guardian. But I do have to admit that I think he'd be more likely to reply to the Guardian.

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Hi CatM, I was a little put out when I read the Guardian story--I thought maybe they had somehow seen my tiny TPM post and stolen it! But that didn't make any sense, and then I realized the Guardian had also probably emailed Hawking and he said the same thing to them that he said to me.

Which made me pretty happy, 'cause gosh darn it, Stephen Hawking and his PA gave the same quote to the Guardian that he gave to me, a stranger who emailed him out of the blue! Pretty cool if you ask me.

Hope that helps! Thanks for posting about the story--you have a nice blog over there.

erica


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If it helps, I think the timestamps on each piece show that, accounting for the time difference, we each posted at about the same time. (I'm assuming Eastern Standard 2:52 pm and BST 7:42 pm.)

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I don't know that Hawking was always wealthy. He's had this problem since he was in his early 20's, as I recall.

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erica

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