We return to the practicalities to make sense of things. When President Clinton's health plan was being decimated, few people understood that the question was not whether health care reform would occur, but under whose control: government bureaucrats or insurance bureaucrats. Given adequate resources, this country would gladly support a universal right to optimal health care. But it can't, and neither can Canada, Germany, nor Sweden, which have been considered to have rational and economical universal health care systems. Inflation has entered their systems, though less dramatically than here, and they are developing their own modes of rationing, using their own versions of medical necessity.