Health care is one of our wonderful, big, hairy, intractable problems. Among the issues (no particular order):
1) Health care is a "necessity", but much of the consumption of health care resources is in fact "voluntary"; how do you control consumption under those circumstances?
2) Health care is a service performed by someone, not a product that can be dispensed like surplus cheese
3) Health care requires research for continuous improvement, and the research requires enormous capital expenditure with huge lead times
4) Intellectual property systems are ill-equipped for health care technologies, due to said lead times and expense (one example - it makes little economic sense to have two companies spend 10 years and $5 BB and have only one get a patent because they file a day earlier than their competitor)
5) Some people consume very few health care resources where others can have procedures that consume many lifetimes of income
6) Some aspects of a person's health are entirely externally driven (e.g. bad genes)
7) Some aspects of a person's health have a large voluntary component (e.g. smokers, obesity, etc.)
8 ) In the spectrum of health care, one system is generally expected to cover mundane expected daily expenses (e.g. standard medications, visits for the flu, vaccines), seemingly random fantastically huge expenses (e.g. a quadruple bypass or reattachment of a lost hand), and even seemingly expected fantastically huge expenses (e.g. having a child), plus seemingly expected yet random fantastically huge expenses (e.g. said child is a preemie requiring 3 weeks in ICU). No other system that comes to mind that is expected to deal with such diversity - for example your car insurance is not expected to pay for your oil changes or to fill up your gas tank, your home owner's insurance doesn't pay to repaint the baby's room, your life insurance doesn't pay for your insulin (although maybe it should...)
9) Health care costs are largely driven by one growing segment of society (the old) creating automatic tension with the rest
10) entry to the health care field has a multi-year lead time, so the response time to an increase in demand is delayed despite financial incentives
To me, this problem is far more difficult to deal with than energy or global warming. The internal conflicts in the above points (and others I can't think of right now) make it easy to attack any position set forth, if a guy enjoyed playing Devil's Advocate like I do.
