The reality is how treatment choices will be much more limited and determined primarily by cost. The UK model (using the National Institute for Health and Clinical Excellence, aka NICE) entails just this type of rationing of drug therapy. And contrary to what some at this site believe, many modern and expensive drugs save and immeasurably improve millions of lives. I see it every day.
...”rationing of drug therapy”
I absolutely agree with you — just add to “drug therapy”, surgeries and tests will also be rationed.
I'm sure that many will agree that the upside of Obamacare is that the price of those drugs will be driven artificially down to prevent the greedy pharmaceutical companies from making profits.
Never mind that without being able to recoup development costs, those companies won't be developing new drugs. And when they can't afford to support research any more, that puts not only the scientists who work for those companies out of work, but also the scientists who don't work for them, but do the basic research into biology that eventually leads to new therapies and targeted drug development. There is no need to understand fundamental biological processes when nothing will be done with the knowledge.
Being one of those basic researchers, I'm having serious concerns about the future of my career. Obamacare is bad.