dr. elliott fisher says we already limit health care based on income and whether people have insurance.er analyzing medicare records for end-of-life treatment, he's convinced that there is so much waste in the present system that if it were eliminated, there'd be no need to ration beneficial care to anyone. multiple studies have concluded that most patients and their families are not even familiar with end-of-life options and things like living wills, home hospice, and pain management. >> and the real problem is that many of the patients who are being treated aggressively, if you ask them, they would prefer less aggressive care. they would prefer to be cared for at home, they'd prefer to go to hospice, if they were given a choice, but we don't adequately give them a choice. >> at some point most doctors know that a patient's not likely to get better. >> absolutely. >> and after you've run through all the choices then... >> sometimes there's a good conversation; often there's not. you know, patients are left alone to sort of figure it out themselves. >> marcia klish might have lingered f