Those people who for what ever reason are pushing for the Government to take over the healthcare system of the United states typically emphatically state that "there are no death panels in the bill". As if only explicitly declared and named decisions will limit your care.
Some of the withholding of treatment will come by economic rationing - "We have run out of money".
And some will come by physical rationing - "We don't have a doctor available (in your area or not) until April next".
And some will come by treatment review - "Prostate Cancer is a slow mover, something else will get you first".
The bill isn't even finalized yet and treatment review is already starting. The new guidelines were issued by the U.S. Preventive Services Task Force and push raising the starting age for routine mammograms from 40 to 50; and additionally, they question the effectiveness and need for digital self-examination. Most of the women I have known with breast cancer have been under 50. Anecdotal, I know, but that is just the way it is.
The proponents of the Government takeover of the US medical system retort with "these decisions are already made by insurance companies". Yes, BUT, at this, I can still (and do) change insurance companies to find a better one. That is a little more difficult with governments.