And in our health system, care usually doesn't come with a price tag. But as we've discussed previously, it would be very expensive to put in place a system where we would be able to charge individuals in a manner consistent with an equitable allocation of health services. What we might also have to do, as the health care system seems to be heading to crisis, is to rethink how we distribute care in general. For all of the talk about how things are going to get worse, in the long run it is quite possible that we will get better health care. The duloxetine of the entire population may improve if we manage to get more resources for those at the bottom of the income distribution, or if we manage to find ways to redistribute income from those at the top to everyone else. There is no way around the fact that we have to figure out how to improve our health care system in the years ahead if we want to get back to the kind of system that worked for millions of people a few years ago. Our health care system does not have to be more complicated than it is today if we want to get back to the kind that worked for millions of people a few years ago. This latter requirement is important given the rising concern among some physicians that, in a highly bureaucratic medical system, physicians have become too much like administrators who have become increasingly disconnected from the daily realities of patient care.
For those who want to know what is behind these changes so as to avoid making the mistakes of others, here are a few highlights. The medical profession has always sought an end to a long tradition of government-imposed limits on the practice of medicine, and in some parts of the country, particularly in the Northeast and Mid-Atlantic, those limits are still in place, especially for those suffering from chronic conditions. There is no better example of the power of the medical profession in a time of crisis than New York State.
The State of New York had for generations had a policy of banning all but elective surgery to all but those who could pay for the procedures, and the practice of medicine in New York at the turn of the century was, in part, an expression of that prohibition. As a medical resident, it was my experience to have to get preapprovals every time I wanted to do a surgery. It took years, often years, for me to be granted one.