>That would still be massively inefficient. Patchwork schemes like 
>this have much higher administrative costs, and are far more 
>complicated for people to deal with, than a simple universal public 
>program.
And I forgot to mention the efficiency gains from global budgeting - the monopsony power of a single purchaser negotiating lower prices on drugs, equipment, and services. There's a good reason why drugs cost less in Canada.
Doug