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http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371/journal.pmed.0050037
So, actually, executing the obese could be the way to go here...perhaps it's an idea whose time has come? We could have universal coverage AND lower costs!
EDIT: we also need to encourage people to smoke more, of course.
Actually it suggests that we should kill all the old people.....