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The current trend of rapidly rising health care costs is unsustainable. Many proposed reforms to curb spending rely on some type of rationing imposed by an unaccountable government body. A better alternative would be to allow individual consumers to make their own decisions about care, including the self-rationing of medical services, based on cost and their own desires. Such a policy is compatible with American values of limited government and individual liberty and responsibility. State and federal policymakers should adopt measures to facilitate personal control of health care decisions.

Wichita fallsUnited statesUnited kingdomNew hampshireEllen foxDonald berwickDavidt feinbergTom daschleInstitute of medicineObama administrationCongressional budget officeCenters for medicareNational institute for clinical excellenceHealth care cost explosionGovernment accountability officeMedicaid services