Really. From the Reuters “Environment” blog (the “he” is Dr. Richard Nicholson, editor of the Bulletin of Medical Ethics):

Just being a little bit more green isn’t the answer,” he insisted. Rich countries will have to find ways to cut their carbon emissions almost completely within the next few years. His outlook for the healthcare industry was summarised in a bleak PowerPoint slide:
Possible changes in medicine
close most hospitals and concentrate on good-quality primary care reverse the brain drain and send redundant health workers to developing countries outlaw assisted reproduction stop medical research undertaken for utopian or financial reasons.
If western countries closed all their hospitals, he said, life expectancy there would drop by only eight months.
“What is more important,” he asked, “maintaining our wealth and economies for 20-30 years until climate change wipes them out, or trying to ensure that as much as possible of the human race survives?”