A step towards rationing? It is the very foundation of rationing! Comparative effectiveness takes only 2 factors into account when deciding to give a thumbs up or down (just like the Caesars did centuries ago in the Colosseum): 1) your age, and 2) the cost. It's called comparative effectiveness and is the lynch pin of the rationing that will be handed out by a group of bureaucrats given great power over all decisions medical that will essentially put them between you and your doctor. Obama's fidelity-challenged budget director Peter Orszag spilled the beans recently on what are essentially death panels:
We areTHE RESISTANCE.
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