They will use medicine to control behavior to their warped liking.  Your pregnancy tests show a genetic marker for Down syndrome.  We will remove that mass of tissue so you can get on with your life without hardship (and also costs to the government).

No lung transplant for you!  You smoked! 

You have a deadly STD that was caused by your sexual practices?  Come right on in!  You are protected class of patients.  What’s that?  You are married to a partner of the opposite sex and got that disease from saving a person who was bleeding to death?  I’m so sorry, but we don’t cover that.

We don’t care if Barack Obama’s grandmother received a hip replacement at 80+ years.  You are still too old at 62 (you do not have enough time left to pay the taxes necessary to recover the costs of your operation).

That liver is going to be thrown away, because you drink!  That cancer treatment is just too expensive, and you are in the last half of your life, but we will offer you a cocktail of pills that will end your quality of life issues with the pain!  Just sign here and we will even take care of your burial.

This will be true cradle to grave medical care!

I have a solution.  Keep all medical coverage totally private, get rid of all the agencies with their copious numbers of government employees, and replace all of them with a single person to oversee the honesty and costs of the private system.  What???  Did I just hear that you don’t trust another Czar?

I have just the right person for the job.  Her name is Jessica Terry and she is eighteen years old.  Put her, and only her in charge and pay her $1,000,000.oo a year.  She has the perfect resume for the job.