The elephants in the room are

· Social Security

· Medicare

· Interest on the national debt

If we are not addressing those issues now, we are exacerbating the problem. 

Failure to do so makes “death panels” unavoidable… they might not be called that… but, the effect being the same - we will still discard the sick and the elderly… a class of people most of us are about to join.  We will be forcing our offspring to be creative in the way they deal with the expense and inconvenience of having us doddering, drooling coots around.