Arnold Kling reiterates a fundamental reality of health care economics that should be obvious to any sentient being:

We cannot have open access to health care services, consumer insulation from expenses, and sustainable health care spending. Pick two.

Unfortunately, as the Commonwealth Fund has recently demonstrated, many participants in the reform debate continue to believe that our choices include “all of the above.”

Ironically, most of these people also claim to be part of the “reality-based community.”

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