The Holy Grail of universal coverage in the United States may remain out of reach unless, through rational collective action overriding some individual self-interest, we can reduce per capita costs.

Traditional medical ethics, based on the doctor-patient relationship must be changed... The primary function of health care regulations should be to limit an individuals own decision-making!

We are guests in our patients' lives.

I am romantic about the NHS. I love it.

Right now, we are doing it blindly.

Competition makes things come out right. Well, what does that mean in health care? More hospitals so they compete with each other. More doctors compete with each other. More pharmaceutical companies. We set up war. Wait a minute, let's talk about the patient. The patient doesn't need a war.

Every system is perfectly designed to get the results it gets.