The Internet's abundance - of information, goods, tastes and sources of authority - creates unparalleled opportunities for individuals to get exactly what they want. But this plenitude threatens political and cultural authorities who believe in telling individuals what they can have rather than letting them choose for themselves.

The Internet ethos of diversity and competition runs exactly counter to uniform, gatekeeper-oriented medical culture - the technocratic philosophy of the 'one best way' embodied in our pharmaceutical regulations. On the Net, medical information is abundant, and pharmacies, domestic and foreign, operate on many different models.

The United States government approaches patient choice in medication as Singapore does free speech: its pronouncements sound reasonable and tolerant until you threaten its prerogatives.

Virginia Postrel Quotes