National Affairs: The Price of Health: Two Ways to Pay It

In the field of medicine, the biggest news of the last two decades has been the discovery of life-saving wonder drugs—the sulfas and antibiotics. But the most heated discussion, among doctors and laymen alike, has been about the cost of medical care.

The problem is greater and more complicated, and goes much deeper, than the emotional, sloganized fight between "free" and "socialized" medicine. It breaks down into two parts: 1) how to help (or force) people who can afford to pay their medical bills to budget or insure these costs; 2) how to improve...

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