If you are disappointed by the Supreme Court’s ruling upholding the Patient Protection and Affordable Care Act, don’t be. If the Court had ruled that the purchasing mandate was unconstitutional, then the impact on your day-to-day life would likely have been immeasurable.
I am not suggesting that it is unreasonable to be frustrated with the practice of medicine today. But the issues are larger than, and mostly independent of, the Patient Protection and Affordable Care Act (PPACA). Over my lifetime, the same basic tensions have affected the delivery of health care. There are concerns about increasing cost, preserving freedom of choice, maintaining access to both the system and to new technology and improving quality. The conflict between controlling costs and the other three factors is constant.