The comment by Cdc holds a lot of truth. When I first began practice in the early 70's, most health care was paid for just like your groceries. Consequently, market forces played the primary role in controlling the cost of the services just as it does in the price of groceries or any other competitive product. We took the first step toward a socialized system when third party payers started to appear in the delivery system. This divorced the cost of the service from the consumer. He no longer felt the true cost of the service anymore. With this development, over utilization has ,over the last 30 years, almost swamped our system. If we move to a total socialized system, the over utilization will force rationing which will affect those that need extremely expensive procedures and treatments. This has already started with the advent of HMO's but will accelerate exponentially as government becomes more dominant in the delivery system. This has the potential to create an Orwellian health care system which delivers care based on the perceived value of the recipient, ie, age,social status, etc. Sound crazy, just take a look at Washington right now.