"In 1993 critics predicted that if the Clinton administration's universal health care coverage plan became law, costs would go through the roof. 'Hospitals will have to close,' they said. 'Families will lose their choice of doctors. Bureaucrats will deny medically necessary care.'
"They were half right. All that has happened. They were just wrong about the reason.
"We are No. 1 in the world in health care spending. On a per capita basis, health spending in the United States is 50 percent higher than in the second-highest spending country: Switzerland. If we are spending so much, why does the United States rank behind 47 other countries in life expectancy and 42nd in infant mortality?
(snip)
"More than one in four health care dollars go to administration. In 1999, that meant $300 billion per year went to pay for administrative bureaucracy: accountants and bookkeepers who negotiate with insurance companies and squeeze every possible reimbursement out of Medicare and Medicaid.
(snip)
"The present system is unsustainable. The only question is whether we will master the change or it will master us."
From an April 18 New York Times Magazine essay by Sen. Hillary Rodham Clinton, D-N.Y.
http://www.startribune.com/stories/1519/4752850.html