SH: vii) There’s a trade-off between universal care and the quality care. In a private, fee-for-service system, a doctor has no incentive to ration care. He will provide whatever medical service you can afford.
The incentive to ration care only kicks in when you’re attempting to equalize care.
So it’s a trade-off between lesser care for everyone, or better care for some, and lesser care for others.
VR: So we don't have to ration care because it is already rationed by affordability. We don't need death panels. All we need is for people to look inside their wallets and see that they don't have enough money to get the medical care that will keep them alive. I'm so glad the status quo takes such a strong stand for the sanctity of human life.
"Didn't have no welfare state. Everybody pulled his weight." At least, until they got sick.