I read the New Yorker article as an invitation to death panels, the way I think you did from your comment. I confess, though, I am unclear about your comment, so I can't be sure. I did really enjoy the article and thought it was fascinating.
I can't really comment on how the delivery of health care in general might be affected by the approaches talked about in the article, since my experience is more specifically in mental health care delivery. There, it does fit pretty well, and I think the comments about (my word here) morale in chronic patients are spot on. What's your take on the same problem with chronic patients who use the system for physical illnesses?
You can spot areas where the system is broken without needing to kill the people who have the problems that are identified, which is I think what the article was talking about.
I think it was also talking about morale problems not only with the patients but with the caretakers. I thought the little story about the poor cops at the beginning of the article was very sad indeed. Cops are generally such idealists when they go into the field, and to see them so terribly discouraged and burnt out is very sad indeed. It's easy to overlook the care they need and are often too frightened to seek.
Anyway, Best to you, Bob K.