This Bloomberg article is from April, but it ties in very nicely with what Cass Sunstein, Obama's nominee for head of the Office of Information and Regulatory Affairs, said in his essay called "Lives, Life-Years, and Willingness to Pay".
In the article, Obama had this to say about his 86-year-old grandmother's hip replacement surgery (emphasis added):
“You just get into some very difficult moral issues” when considering whether “to give my grandmother, or everybody else’s aging grandparents or parents, a hip replacement when they’re terminally ill. That’s where I think you just get into some very difficult moral issues ... The chronically ill and those toward the end of their lives are accounting for potentially 80 percent of the total health-care bill out here."
Notice that Obama lumps in "those toward the end of their lives" together with the "chronically ill". Obama states quite clearly that deciding whether to give old people health care "raises a difficult moral issue".
Well, Cass Sunstein to the rescue! Sunstein believes he knows how to resolve Obama's "moral issue", as he explained in his essay:
"A program that saves young people produces more welfare than one that saves old people. The hard question involves not whether to undertake this shift, but how to monetize life-years."
For Sunstein, the "hard question" isn't whether to withhold health care from old people. To him the answer is self-evident, since doing so "produces more welfare". The "hard" question for Sunstein is what calculation should be used to determine the precise dollar value of an old person's life, as opposed to a young person's life.
Remember, Sunstein has been nominated by Obama to a very important post. His agency will be central in determining the exact regulations that come out of any health care bill passed by Congress!
I swear, Adolf Hitler is not spinning in his grave, rather, he's dancing a jig.