ABSTRACT
This chapter begins with the conclusion that a national health policy is meaningless unless aspirations are reduced to a very few attainable objectives. An overarching national health policy means too many things to too many people and interest groups and attainable objectives have not been sorted out from Utopian aspirations. The chapter presents health care a right for high minimum income level, $10,000 and a commodity for the rest of the population, capped by a protective security blanket of catastrophe coverage for the entire population, details of which are politically negotiable. The United States is facing a full range of problems simultaneously while considering universal national health insurance. There is a fascination with the seeming comfort of a security blanket of a global national health policy, the more global the more comfort. The western liberal-democratic national health insurance or health services systems are agonizing over rising costs, equal distribution of facilities, controls over use of services, and controls over quality.
