To the Editor:
We cannot afford to provide all the health care services every person may need. Politicians, insurance companies and health providers ration services through copays and deductibles, pricing and coverage issues and pre-authorization and waiting lists. High-income groups buy Cadillac plans; middle income groups buy insurance augmented by employers and government subsidies; and the low income and uninsured get Medicaid. Obamacare rations services based on need, regardless of cost. The corrective is to base decisions on outcomes: the person’s preexisting condition, current health status, family history and ability to improve.
Michael F. McCarthy