Francisco was summarily discharged. The Arizona state government, which is totally controlled by Republicans, got between him and his doctor.

“The state only has so much money and we can only provide so many optional kinds of care. Those were one of the options that we had taken liberty to discard,” said Governor Brewer, who we all remember for her path-breaking efforts to convince the world that the Arizona desert is strewn with the headless bodies of illegal immigrants.

Felix was one of 98 people in the transplant pipeline when the law went into effect. Arizona claims cutting them off will save $4.5 million this year. Advocates have called on Governor Brewer to use some of the state’s $185 million in federal stimulus funds to restart the procedures. Brewer, who opposed the stimulus, says all the money is gravely needed for other projects. Which she will not name.

The best possible spin to put on all this is that it was a terrible mistake. The chairman of the Arizona House Appropriations Committee, John Kavanagh, says that the lawmakers got bad information from the state Medicaid experts, who said that the transplants weren’t effective. “Based on the information I’ve received, it looks like most of them should be reinstated and we hope to do that in January,” he said.

Ironically, trying to answer questions like this is one of the great goals of the Obama health care law. “What it promises to do is attack the vast reservoirs of ignorance about relative benefits of different ways of treating different diseases to see which is most effective,” said Henry Aaron of the Brookings Institution. Although, as Aaron carefully pointed out, the law steers clear of any mention of cost effectiveness. This is because Republicans in the House and Senate kept howling about death panels and plug-pulling.

It’s hard to give Arizona the benefit of the doubt on anything these days, what with the state’s dubious performances in matters like illegal immigrant hysteria, the selling of the State Capitol to help balance the budget, and the electing of Jan Brewer. However, let’s accept that given their economic problems, it would be natural for the Legislature to want to try to cut the Medicaid budget. Although preferably in some saner, less brutal manner.

But try to imagine what the Republicans would have said if someone in the Obama administration proposed cutting off liver transplants for Medicare recipients. We heard a lot from John McCain during the health care debate about how reform would restrict Medicare services. We have not heard a word yet on how McCain feels about the Arizona transplant issue. His office did not respond to inquiries about whether he approves his state’s pulling the plug on a 32-year-old father.