Who would you trust to make life-or-death decisions about your health care? Your family, in association with your physician? Or a government bureaucrat?
Should life really be viewed solely through the prism of utility? The equivalent of a morning-after pill...???
If the government is paying for the care, I accept the need for government regulations to weigh costs vs. benefits. Either the government will ration care, or the price system will. As a conservative I favor the latter, but unlike many conservatives here I acknowledge that there WILL be rationing.