The 60+ patient who goes to India for surgery today to save money will go to India for surgery tomorrow because the government will refuse to treat them -- under the rationing of care that will be a part of any government-run system.
does the government force medicare patients to go to India for surgery today?
the "rationing" boogeyman is only going to go so far - if employer provided health plans starting forcing workers to go to India for surgery, those people are going to turn around and vote for politicians who provide a national health care plan that avoids that.