We do not see the sort of fundamental changes that would be necessary to reduce the trajectory of federal health spending by a significant amount and, on the contrary, the legislation significantly expands the federal responsibility for health care costs.
You have to have a certain realism that government is a pretty blunt instrument, and without the constant attention of highly qualified people with the right metrics, it will fall into not doing things very well.
Why has government been instituted at all? Because the passions of man will not conform to the dictates of reason and justice without constraint.
One of the key problems today is that politics is such a disgrace, good people don’t go into government.
Loyalty of the law-making power to the executive power was one of the dangers the political fathers foretold.
In poor countries, we still need better ways to measure the effectiveness of the many government workers providing health services. They are the crucial link bringing tools such as vaccines and education to the people who need them most. How well trained are they? Are they showing up to work?
In the usual progress of things, the necessities of a nation in every stage of its existence will be found at least equal to its resources.
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