[Y]ou cannot treat 30 million new people and have a diminishing supply of doctors and expect medical care to remain the same. We need to elaborate this conclusion and explain what is at stake. If Obamacare is not repealed, seniors will not be able to get the care they need because they do not have enough QLYs remaining (Quality Life Years). The authoritarian regime of math will take over. Does your hip replacement cost $300,000? But are you 84 and have only three QLYs left? Our guidelines do not permit us to spend $100,000 per QLY. Permission denied.