Or might make one side of the discussion stop using emotionally loaded phrases like "death panels". Because you know that a major portion of medicare is end of life situations. Or have other doctors review grandma's potentail hip replacement surgery and decide that at 82 her bones are too fragile to have it. Or the unnecessary stents. Or the unnecessary prostate surgery at 85. We will have to make tough decisions based on probability of success and quality of life afterwards rather than, Medicare will pay for it, let's try it anyway.