Good post DK but Obama has you covered.

The genius of his plan will emphasize cost effectiveness. Medicare options for the elderly will be greatly reduced consistent with their life expectancy. They will be lovingly introduced to "end of life" possibilities, you know, kinda like what was in that VA booklet. When our generation dies off (or are killed off), sooner than later according to the grand plan, they will also be coming off the Social Security rolls thereby generating more revenue for redistribution and social justice. A two for one benefit. Very efficient.