Sorry if this has been posted before:

If you want a glimpse into how ObamaCare will work (despite all the denials) take a look at Rahm Emanuel’s brother’s thinking at “Principles for allocation of scarce medical interventions” by Govind Persad BS , Alan Wertheimer PhD , Ezekiel J Emanuel MD at The Lancet, Volume 373, Issue 9661, Pages 423 - 431, 31 January 2009. The Good Dr. Emanuel is a healthcare advisor for The Bama.

“Allocation of very scarce medical interventions such as organs and vaccines is a persistent ethical challenge. We evaluate eight simple allocation principles that can be classified into four categories: treating people equally, favouring the worst-off, maximising total benefits, and promoting and rewarding social usefulness. No single principle is sufficient to incorporate all morally relevant considerations and therefore individual principles must be combined into multiprinciple allocation systems. We evaluate three systems: the United Network for Organ Sharing points systems, quality-adjusted life-years, and disability-adjusted life-years. We recommend an alternative system—the complete lives system—which prioritises younger people who have not yet lived a complete life, and also incorporates prognosis, save the most lives, lottery, and instrumental value principles.”
And …

When implemented, the complete lives system produces a priority curve on which individuals aged between roughly 15 and 40 years get the most substantial chance, whereas the youngest and oldest people get chances that are attenuated.

One might note some comparison to an early allocation program - - Aktion T4 - - very popular in Germany around 1939-1941