Isn't that what reallly needs to change? Medicaid, medicare, and private insurance companies deciding when and what treatment is appropriate instead of the doctor and the patient.Perhaps this is one of the jokes JS talks about: initially "loss of choice" was to be a disastrous consequence of reform, now it's something that it should have solved. ;-)
"... They ne'er cared for us
yet: suffer us to famish, and their store-houses
crammed with grain; make edicts for usury, to
support usurers; repeal daily any wholesome act
established against the rich, and provide more
piercing statutes daily, to chain up and restrain
the poor. If the wars eat us not up, they will; and
there's all the love they bear us."
-- Shakespeare: Coriolanus, Act 1, scene 1
