.Obama's soon-to-be-announced Administrator of the Centers for Medicare and Medicaid services (appointed during a Congressional recess, because he would not be approved otherwise), Donald Berwick, has this to say about controlling health care:
"[The] decision is not whether or not we will ration care -- the decision is whether we will ration with our eyes open. And right now, we are doing it blindly."
"You can say, 'Well, we shouldn’t even look.' But that would be irrational. The social budget is limited -- we have a limited resource pool. It makes terribly good sense to at least know the price of an added benefit, and at some point we might say nationally, regionally, or locally that we wish we could afford it, but we can’t.
He is right in one point. Medical care is rationed right now based on what you want to spend. He calls this "blindly", because there is no central government monitoring and control of your medical decisions.
In our new Obamafuture, the Homeland Health Care Czar will determine what is and what is not available to you.