Rest assured heath care rationing for seniors is coming. It is happening in the UK and Canada where certain procedures are simply denied at a certain age or interminable waits face those who need care. Rationing to control costs is just the nature of government run health care. The poster child for excessive costs is hip replacements for the elderly. And they will be on the chopping block. Obama himself suggested pain pills might have been a better alternative for his grandmother than a hip replacement she had been considering. But for those who have suffered hip problems, it is a quality of life procedure no amount of pain killers can substitute for. So what are the alternatives? India now offers a hip replacement for under $5,000 (using an FDA approved prosthesis) compared to $25,000 to $30,000 in the US. That's not much different than out of pocket expenses now. In the global economy, procedures denied those in the US can and will eventually be available closer to our borders than India, perhaps in Mexico, Costa Rica and yes, even Canada. That would be ironic! It is comforting to know there are alternatives. It is discouraging that under the ideological premise, government knows better than its citizens, we end up driving medical jobs overseas. Government simply doesn’t feel the pain. We do.