The point of managed care was to introduce a degree of rationing into a health-care system that, by the late 1980s, was suffering from inflation of 15% a year or even more.

ECONOMIST: HMOs

More to the point, the bulk of health reform that deals with making our health care system more effective and efficient includes many common-sense provisions that have had bipartisan support for years.

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You are the first writer I have seen who has grasped the seminal point that the dysfunctions in the current health care system are expressions of basic structural errors in their design, not intrinsic failings of capitalism or some such.

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My family has had extraordinary care from our NHS, but we do not do our NHS or our nurses any favours if we do not point out that there are some very real problems in parts of our health and care system.

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The Affordable Care Act, through the individual responsibility requirement, will require everyone, if they can afford it, to carry some form of health insurance since everyone at some point in time participates in the health care system, and incur costs that must be paid for.

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