Vaccines are the most cost-effective health care interventions there are. A dollar spent on a childhood vaccination not only helps save a life, but greatly reduces spending on future healthcare.

We had a big controversy in the United States when there was a limited number of dialysis machines. In Seattle, they appointed what they called a 'God committee' to choose who should get it, and that committee was eventually abandoned. Society ended up paying the whole bill for dialysis instead of having people make those decisions.

Doctors take the Hippocratic Oath too seriously, as an imperative to do everything for the patient regardless of the cost or effects on others

An obvious example is not guaranteeing health services to patients with dementia.

Vaccines are the most cost-effective health care interventions there are. A dollar spent on a childhood vaccination not only helps save a life, but greatly reduces spending on future healthcare.

Anyone who lives in Washington and has an official position viscerally understands the cost of a lack of privacy. Every dinner - especially ones with a journalist in attendance - is preceded by the mandatory, 'This is off the record.' But everyone also knows, nothing is really 'off the record.

Guilt. It comes naturally to me as a Jew and a Liberal.