I agree with you, but one of the spurs to me to write this blog was a letter from a med school professor  in the New Yorker in response to Atul Gawande's "Tell Me Where it Hurts." The letter writer pitted separating conjoined twins against "less glamorous, more cost-effective treatments." Medical care is not a zero-sum game. We can uncap Social Security and Medicare or cut military spending or end fossil fuel subsidies or.....