This is the story of the intentionally "below-the-radar" changes that have been aggressively pursued in our society for decades. Because these changes are not covered by the major media, the public has difficulty "putting a finger" on what is happening and why.
There are no formal "death panels," but there are bureaucrats whose decisions result in denied tests, denied treatments and certain death in many cases. When the federal government becomes the big HMO itself, test and treatment denials will be the equivalent of death sentences for many.
What needs to be recognized is that changes are coming no matter what political party controls those changes. Hospice as an industry has been infiltrated by many euthanasia sympathizers who have tainted the industry with practices that impose death upon the vulnerable through terminal sedation and other undeclared methods of euthanasia.