Instead of benefitting from open meetings and public discussions, the
Clintons drafted their health care plan in private and asked that it b
e accepted in haste. They advance an ideology that claims we can recei
ve the best care for all without any increase in cost or rationing, an
d then they use ''ethicists'' to justify this ideology through a suppo
sedly common morality. However, there is no such common morality. In t
he context of American pluralism, one must look to the actual consent
of the governed and recognize the limits on state authority. The resul
t will be a two tiered system of health care, with a basic tier focusi
ng on cost-effective care for the poor that eliminates suffering rathe
r than equalizing inputs, and a space for collateral private insurance
.