Among the reasons America's health care is so expensive are advances in treatments in the last twenty to thirty years that offer a better quality of life as people age and a greater probability of cure. Consider the difference that knee and hip replacements have made in pain-free mobility for the elderly. Dialysis offers those waiting for kidney transplants a longer window of opportunity. In-utero surgery saves babies who wouldn't have survived the pregnancy twenty years ago. Advances in cancer treatment have made the word less terrifying as more and more Americans beat the disease.
Ezekiel Emanuel would like to see health care rationed and one can presume that his views are shared by the man who appointed him as an advisor. And yet, do you think he would have recommended rationing for Ted Kennedy? He wants to eliminate options for those with dementia, how about an incurable brain cancer? Would he have urge Kennedy to forgo the aggressive treatment that enabled him to live 15 months beyond his diagnosis and call for palliative care only?
The elite always have two sets of rules: one for themselves and the rest for the unwashed masses. If you want to understand how it works, read George Orwell's Animal Farm. All animals are equal, but some are more equal than others.