Better Health Care Through Rationing

The status quo in our health care delivery system is unsustainable. An old world of health care is dying and a new world is being born. The basic defining characteristic of this new world of health care is that we have invented more beneficial medicine than we, as a society, can afford. Our genius has outrun our productivity. However we organize or however we fund health care, we shall not escape the necessity of making hard choices. The bottom line in health care is that there is no bottom line—infinite medical needs have run smack into finite resources. We will never get our health care spending under control until we accept this reality. These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.