After nominating Donald Berwick as head of Medicare and Medicaid, President Obama has now nominated Henry Aaron as head of the Social Security Advisory Board, and they are both proponents of healthcare rationing. Berwick, who Obama appointed through executive measures, circumventing the conventional Senate confirmation, has stated, "The decision is not whether or now we will ration care…. The decision is whether we will ration with our eyes open. And right now, we are doing it blindly."

Henry Aaron, a senior fellow of the Brookings Institution, harbors sentiments on the issue that are arguably even more extreme, which is evident in his comments about the Independent Payment Advisory Board.

The Independent Payment Advisory Board (IPAB), a U.S. government agency established in 2010 by sections of Obama’s healthcare overhaul, has the explicit task of curtailing the rate of growth in Medicare expenditures. Section 4303 of the Affordable Care Act grants the IPAB an unbounded authority to develop proposals to cut Medicare costs, which become law unless Congress acts to produce alternative cost-saving proposals that would save at least as much as the IPAB proposes.

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