This final chapter concludes that rationing along with comprehensive healthcare reform is mandatory if both fiscal catastrophe and continued poor health outcomes are to be averted. It assumes that a wealthy democracy like the United States would only pass a universal health insurance program that was exceptionally generous, even with rationing in place. Previous rationing attempts in the US are also discussed, such as commodities rationing during World War 2 (which was not especially draconian), and that were embraced by the public as necessary. It is acknowledged that the poisonous political atmosphere and the power of special interests whose livelihood would be threatened by this proposal must be dealt with, and suggestions for how to mollify their opposition are offered. In the end, it is argued that the kind of rationing described in this book could be acceptable.
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