From the Forbes article (bolding mine):
"Whatever solutions emerge, it's likely that drug costs will have to come down and that some patients will be denied medicine because their chances are too slim. Says Saltz: "We're going to have to stop taking the stance that every patient has to get every last shot at survival. The days of developing drugs and not worrying what they cost are over."
I agree and have for some time. Of course the problem is that when push comes to shove, in a real situation, the answer is but not my mother, not my child, not me. And those would be horrible choices to face.
Not to mention that in any sort of national debate, the "death panel" silliness begins.