Jeffrey Simpson
atching Americans debate health care reform throughout 2009 called to mind the old Irish joke.
Lost in rural Ireland, the tourist asks a local, “How do I get to
Ballygambema?” “Well,” replies the local, “I wouldn't start from here.”
“Here” is a system that leaves about 45 million people without
insurance, millions more underinsured, insurance and pharmaceutical
companies making huge profits – a system that costs the country 16 per
cent of its annual national income for aggregate health outcomes no
better than in countries such as Canada, whose systems cost much less.
Put another way, there are
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