Every country in the world is battling the rising cost of health care. No community anywhere has demonstrably lowered its health-care costs (not just slowed their rate of increase) by improving medical services. They've lowered costs only by cutting or rationing them.
People spending more of their own money on routine health care would make the system more competitive and transparent and restore the confidence between the patients and the doctors without government rationing.
I'm a war baby: I was brought up with rationing, and my parents always had to struggle. I remember when I was sent to boarding school - Prior Park College in Bath - my father was asked how he was going to pay the fees, and he replied: 'In arrears.'
If you believe that health care is a public good to be guaranteed by the state, then a single-payer system is the next best alternative. Unfortunately, it is fiscally unsustainable without rationing.
It boggles my mind that the same people who cry 'foul' about rationing an instant later argue to reduce health care benefits for the needy, to defund crucial programs of care and prevention, and to shift thousands of dollars of annual costs to people - elders, the poor, the disabled - who are least able to bear them.
I'm really still a child of the Forties. I still think about it a lot, about the repercussions of armed conflict. Until 1953 we had rationing. We couldn't buy meat, we couldn't buy pleasurable goods like cigarettes and sweets. I didn't starve - my family were lucky - but I knew what it was like standing in line waiting for foodstuffs.
Reasoning based on cost has been strenuously resisted; it violated the Hippocratic Oath, was associated with rationing, and derided as putting a price on life... Indeed, many physicians were willing to lie to get patients what they needed from insurance companies that were trying to hold down costs.
I grew up moving from one council flat to another and finished up in a three-bedroom semi-detached on a council estate in Cranford, a suburb of Hounslow. This was in the days when there was still rationing, and we had to be thrifty.
Earth is abundant with plentiful resources. Our practice of rationing resources through monetary control is no longer relevant and is counter-productive to our survival.
Even during the rationing period, during World War II, we didn't have the anxiety that we'd starve, because we grew our own potatoes, you know? And our own hogs, and our own cows and stuff, you know.
