If a person needs a medical procedure to prolong life and a bureaucrat says no - Well, I'd call that a Death Panel.
We already have them, we just reserve them for veterans. I learned today that a close relative, Vietnam Vet and cancer patient, was denied the ability to have oxygen at home as he was discharged...because they say he doesn't need it as long as he's sitting still.
This to a dude who's lungs were collapsed when he hit the (non-VA) ER 10 days ago. He had to be intubated, sedated and on a respirator for a week. By law the private hospital physician cannot provide it to him, so he had him transferred to the V.A. praying that someone would take rational advice and prescribe it for him. Otherwise he would have had to send him home without it.
Perhaps Sarah should visit some V.A. hospitals.