Milbank Mem Fund Q Health Soc. 1979 Spring;57(2):265-87.
The assumption that a centrally planned national health care system could match resources to needs has proved to be a chimera. Shortages are inherent in any system that is more or less "free at the point of access" while it still permits unlimited scientific innovation for its patients. Rationing by science is as unsatisfactory as is political or economic rationing: equality in health care cannot be in balance with uncontrolled technological innovation.
认为中央计划的国家医疗保健系统能够使资源与需求相匹配的假设已被证明是一种幻想。在任何或多或少“在获取时免费”的系统中，短缺都是固有的，而该系统仍允许为其患者进行无限制的科学创新。基于科学的配给与政治或经济配给一样不尽人意：医疗保健中的平等无法与不受控制的技术创新相平衡。
