Doctors are calling for NHS treatment to be withheld from patients who are too old or who lead unhealthy lives.
Smokers, heavy drinkers, the obese and the elderly should be barred from receiving some operations, according to doctors, with most saying the health service cannot afford to provide free care to everyone.
Fertility treatment and "social" abortions are also on the list of procedures that many doctors say should not be funded by the state.
The findings of a survey conducted by Doctor magazine sparked a fierce row last night, with the British Medical Association and campaign groups describing the recommendations from family and hospital doctors as "outrageous" and "disgraceful".
So, at least from some survey respondents, in the ideal national health care system every citizen pays for health care through their taxes but are denied benefits if they don't live their lives the way doctors think they should or get too old.
Of course, those "bad people" won't be getting a break on their taxes of course. They have to keep paying for the "good people" who really deserve medical care.
That's a national health care system you can keep on the other side of the pond. Socialism is egalitarian only if you're one of the "good people", apparently.