TIME?s similarly named ? but much more amusing ? columnist Joel Stein makes light of the concept in his latest piece.

Amid the yuks, though, Stein throws in an important point:

But if Americans would rather take a phony moral high ground instead of admitting that there are a limited number of organs, specialists, equipment, medicine and money, then I’ll have to live with not being a panelist.

Stein doesn?t follow this point further, but he recognizes a fact some people refuse to see: any health care system involves rationing, regardless of what the Obama administration says.

The question is: Who should do the rationing?