By DICK MORRIS & EILEEN MCGANN

Published in the New York Post on August 17, 2009

Washington is all atwitter about "death panels": President Obama derides the idea that his health-care reform calls for them; the Senate is stripping "end of life" counseling language from its bill — and last Friday the voice of the liberal establishment, The New York Times, ran a Page One story "rebutting" the rumor that ObamaCare would create such boards to decide when to pull the plug on elderly patients.

But all those protests miss the fundamental truth of the "death panel" charge.

Even without a federal board voting on whom to kill, ObamaCare will ration care extensively, leading to the same result. This follows inevitably from central features of the president's plan.

Specifically, his decisions to (1) pay for reform with vast cuts in the Medicare budget and (2) grant insurance coverage to 50 million new people, vastly boosting demand without increasing the supply of doctors, nurses or other care providers.

Whether or not he admits it even to himself, Obama's talk of cutting "inefficiencies" and reducing costs translates to less care, of lower quality, for the elderly. Every existing national health system finds ways to deny state-of-the-art medications and necessary surgical procedures to countless patients, and ObamaCare has the nascent mechanisms to do the same. With the limited options that Obama's vision would leave them, many will find that "end of life counseling" necessary and even welcome.

"Reform" would cut care to the elderly in several ways:

• Slash hundreds of billions from Medicare spending, largely by lowering reimbursement rates to doctors and hospitals for patient care.
  
  If a hospital gets less money for each MRI, it will do fewer of them. If a surgeon gets paid less for a heart bypass on a Medicare patient, he'll perform them more rarely. These facts of the marketplace are not only inevitable consequences of Obama's cuts but are also its intended consequence. Without them, his savings will prove illusory.
• Expanding the patient load by extending full coverage to 50 million Americans (including such "Americans" as illegal immigra....

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