The root of the problem is that patients are not payers.
It doesn’t take much tinkering to turn that truth into a “silver bullet” for mandatory socialism.
The root of the problem is that recipients are not purchasers.
Okay, so that doesn’t roll trippingly off the tongue. I’ll work on it.
UPDATE–Just now finished the article. I’m not an Ayn Rand fan, but the article’s writer closes by quoting her. And the end of that statement (by an Atlas Shrugged doctor who went Galt) is the best Rand I’ve seen:
“Let them discover the kind of doctors that their system will now produce. Let them discover, in their operating rooms and hospital wards, that it is not safe to place their lives in the hands of a man whose life they have throttled. It is not safe, if he is the sort of man who resents it—and still less safe, if he is the sort who doesn’t.”