Poison Pill
Atlantic, The, April, 2006 by Clive Crook
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In every rich country, it seems, people expect too much of their health-care systems. That is why, in their different ways, they are disappointed—and why they always will be. Citizens everywhere desire unrestricted access to state-of-the-art technologies. Increasingly, they insist on choice and control, too. Yet they are unwilling to pay what those things cost. People demand as a right the best health care money can buy, delivered in the way that best suits them, expense be damned. All that, and the price must be affordable.
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Nowhere can this self-contradictory demand be satisfied. Everywhere, therefore, health care presents itself to governments as their most difficult nonsecurity challenge. In the United States, the costs are already staggering, and unless something changes, they will only get worse. Such is the sensitivity, though, that only the bravest or most reckless policy makers stride up to the issue ...
