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This is where I see this eventually going (fictional dialog)

Here is what will happen first:

"...I'm sorry sir...we cannot schedule that appointment for you in November 2010 to have that melanoma removed because you have not undergone your mandatory annual counseling after age 65...oh, of course you are right. I know you are only 62, but they did move the age down again this year...we have an opening in three months with the counselors office...would you like that?"

This type of thing is fully expected, but It will not be the people you will be FORCED to talk to in order to receive your care, nor the intentional delays in care that will be the most insidiously evil facets of this, in my opinion. It will be the conversations like this one below that will REALLY illustrate what it is all about:

(END OF LIFE COUNSELOR SPEAKING TO THE DAUGHTER OF A MAN WHO REFUSED TO PARTICIPATE IN HIS "END OF LIFE COUNSELING SESSION")

"...Hi Jan, how are you? I heard your father is resisting counseling. It must be difficult, I know. There just seems to be so much of that lately. I know I am only 40 years old, but I don't understand why people like your father are so opposed to this.

Personally, I went with my mother to her own counseling session. She was pretty angry and initially refused to go. She said that it wasn't right the HCRRA (Health Care Resources Redistribution Agency) moved the age lower by five years without even passing any kind of law or holding any debate, and I said that even though I agreed, there was nothing to do but comply. I had to tell her that the HCRRA and the IRS would begin automatically withdrawing money from her savings account when she was six months overdue, and she said she didn't care. I had to explain that they take half of the money available in her account every month until she either complies or there is no money left. I pleaded with her that her savings money was supposed to be given to me and my family along with the government bonuses to match if she engaged in the counseling and entered EEPSI (Early Exit Program for Seniors and Infirm). I had to plead that we really needed that money, since Tommy is going to college next year.

I thought she was really rude to the counseling agent, who was just a young woman only doing her job. Someone told me they are only hiring young women as counselors now, because the men who were doing it just got angry too easily and shouted at people to just "sign the damned papers". Hm. I tried to tell my mom why they have to do this, but she said they do it just to get rid of old people to save money.

The counseling agent gave my mom a copy of the book "Death is Joy". I read it, and it makes a lot of sense to me. Of course, when I was going to school, we didn't have to read it, but now they have required classes they take every year beginning in first grade.

Suzie is in third grade and is taking the course this year that deals with the chapter on keeping birth rates down, and Tommy is in his senior year where they cover the financial aspects of care for the elderly. He was so excited, he said that since they have implemented this national care program, the number of elderly people has dropped dramatically, so they can spend more money on programs such as monthly equality checks for the economically disadvantaged and reparations for the descendants of slaves. I think it is wonderful.

He asked me why so many elderly people are so selfish and refuse to accept counseling...I didn't really have an answer for him. Hm. Now, don't be defensive, I am not criticizing your father. I am just saying, it is a problem.

They had an hour-long program on PBS about this the other night, and they were saying how the people who are being selfish about this and refusing to take advantage of early exit programs like EEPSI that pay cash to their children (and also pass their savings along to their beneficiaries at a low tax rate) are being so self-centered because they grew up in a time where everyone was self-centered and were interested only in money for themselves. You know, they showed films from the days of the capitalists where there were people who had what they called 'gas-guzzlers", and they used to make so much more money than they needed to live comfortably, so many people were going without health care because they were taking all the money..."