“Never in human history has the general health of most ordinary people been better than it is now. But paradoxically, there can scarcely ever have been a time when health care has been a more difficult political problem for the governments of advanced countries than it is now. These two apparently contradictory facts are not unconnected. It is precisely because of the stupendous advances in the treatment of disease that the role of government has become so contentious. With the scope for life-prolonging medical intervention now virtually limitless – and thus spending on it being potentially limitless as well – there are moral and practical questions about its availability and distribution which every democratic society has to address.”
As she explains, the lessons that ought to come out of the UK’s nationalised, socialist model of healthcare ought to give pause anywhere to reformers trying to impose a similar system. Which naturally leads her to look at the disaster of the Affordable Care Act. (US economics blogger and long-distance athlete Charles Steele has smart observations on this.) And the Marginal Revolution blog has an interesting perspective on the IT disaster of the ACA.
Tangentially, a rather fine novel, called Nobel Vision, was published a few years ago in which the lurch towards socialist-style healthcare was part of the plot. (The Ayn Rand influence is pretty clear on the author, it seems.)