Modern medicine has presented us with a Faustian bargain: Our aging bodies can bankrupt our children and grandchildren. We have run into the 'law of diminishing returns' in health care, where we are often doing more and more, with higher and higher technology, at more and more cost, for less and less benefit.

I believe a nation does not maximize its health care until it starts to ask the hard question: How can we prioritize our expenditures to buy the most health care for the most people? We should not apologize for rationing; we should promote it and advance it.

We spend billions on marginal and often unnecessary procedures on people who are in the final dying process, yet we leave millions of Americans out of the health insurance system, and America's kids have the worst dental health in the developed world.

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