[Oe List ...] Health Care For All

[Jack Gilles]

Dear Colleagues,

I can't say I agree with Susan's arguments, but there are points we  
need to consider.  As I remember our geo-social analysis on polity, we  
said the future of the nation state was passing away.  We would emerge  
with a Regionalis dynamic in which the interactions of the Area (based  
on 54 major metro centers), Regions (the key dynamic) and Metros would  
be the basis of the new Polity.  There are many indicators that show  
this analysis is on target and many things seem to be moving in that  
direction.

So my question is, is it realistic to think a country of 300 million  
can manage a common health system that does justice to both our  
diversity and accessibility?  I know there are lots of fast computers  
that can crunch vast amounts of data and information, but I doubt that  
anything that massive could really work like we would like it to.   
Great Britain's system is constantly being challenged as too big, and  
other countries who offer national coverage are smaller than ours,  
usually about the size of what we said was an Area.  I am all for  
universal coverage, but wonder if it can, and should, be designed on  
such a massive scale.

Jack