As a practicing oncologist, I am forced to give patients older, cheaper medicines. The real cost of this penny-pinching is premature death for thousands of patients -- and higher overall health costs than if they had been treated properly: Sick people are expensive.Sadly, the model upon which Obama is building is based on Tom Daschle's book, which praises NICE and slams old people for hanging on to their lives too long and costing taxpayers too much money (which presumably could be spent elsewhere in buying votes). The thing about bleeding-heart liberals (see Obama, Barack, Kennedy, Ted, and Baucus, Max, et al.) is that they only bleed for taxpayer dollars and for systems they can run--not for real people in suffering. "Build them a system, and they will be happy--and we can take credit for it forever." Or at least until the "happy" citizens die at 67 instead of 81.