With or without President Obama's proposed health care reform, this situation is obviously not sustainable. Medicare costs simply cannot be allowed to continue to increase as they have in the recent past. But when more people become eligible for Medicare coverage every day (because of decades-old demographics), cost control will be impossible without some form of rationing of care. Spending 27% of Medicare dollars on expensive treatments in the final year of life is an obvious target for that.
So how can the President say honestly that he wants health care reform which, in part, cuts costs, but yet he doesn't favor any plan that would "pull the plug on grandma." And how can some of those who oppose health care reform, like Sarah Palin, allude to the spectre of "Death Panels" as a rationale for their opposition, as if opposing reform now will somehow successfully avoid the inevitable rationing of health care in the future. That's either dishonest political pandering by both sides, or unforgiveable ignorance about the looming financial realities.
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