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Yes obamacare will have panels much like those in Canada. But make no mistake about it our gov has already had death panels for a few years now which operate more indirectly. Instead of a panel that evaluates each case the panels make broad decisions about how certain diseases should be approached. So one particular woman with  breast cancer may not have her case evaluated but an evaluation will be made about the "best" treatment for breast cancer and that evaluation will be used to make decisions about her care. Your doctor still makes decisions on an individual basis but the whole system is designed to push his decisions along the proscribed path.