I am no great fan of managed care,1 but the alternative of universal health insurance that Eisenberg2 exhorts us to embrace is the worse of two evils.
Can physicians be trusted to do the right thing if resources are made available ad lib by third parties? The answer is a resounding no. Since Medicare began in 1965, health care costs have gone up from 6% to 14% of the gross domestic product. How this oversupply of money has helped and harmed medicine has been discussed in detail elsewhere,1 but one thing is certain, extension of Medicare-style universal health coverage will escalate costs further.
Kelwala S. Faculty Should Remain Agoraphobic. Arch Intern Med. 2000;160(11):1703-1704. doi: