To get cost saving with greater choice and high quality care, Gingrich relies upon the market which puts thepatient at the center of the system where choice can be made by knowingthe actual price and quality like everywhere else in the free market.
This leaves consciencous physicians, bent on doing what is best for their suffering patients, to assume the financial risk of providing life-saving care knowing that there will be insufficient payment from the insurer and that their patient may never be able to pay the difference for the drugs administered.
Doctors may be uncomfortable knowing about the extra-marital activities of their patients, but confidentiality is a key part of the doctor-patient relationship and is essential in ensuring that the public's trust in doctors will be maintained.