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California’s Insurance Commissioner Ricardo Lara took the highly unusual step this past week of instituting a one-year moratorium
“When the Gentiles, who have no knowledge of the Law, act in accordance with it by the light of nature, they show that they have a law in themselves, for they demonstrate the effect of a law operating in their own hearts. Their own consciences endorse the existence of such a law, for there is something which condemns or commends their actions.”

When trying to formulate a logical, humane health care system, the key is to start from this fundamental understanding: In our wealthy Western countries, we’re not going to let people die in the streets because they can’t afford readily available health care treatments.
The next thing to consider is the big question: Why is health care so expensive? There’s widespread agreement that third-party payment through insurers is the main problem. There’s no cost control, because neither doctors nor their patients have any incentive to control costs. The only way to gain control over costs is to increase bureaucratic oversight – which adds to the cost.
People buy insurance — well, used to, at any rate — to mitigate the costs and impact of unpredictable and expensive future events, and to share the risk of being that one-in-a-million unlucky person. Sure, paying monthly premiums is no fun, but it beats getting an unexpected $200,000 bill for life-sustaining surgery.