The moral framework: enforcers, allocation, and single payer

A host argues every system has an 'enforcer' of its moral level - now pharma and hospitals, under single payer the government - and that sustainability requires a moral consistency he is cautious about placing far from ordinary people. Matthew counters that the horse has left the barn: responsibilities were delegated upward long ago, and allocation is now haphazard, split among insurers, pharma, and hospitals that feel cheated by each other. He notes single payer's virtue is consistent allocation with far less paperwork (the UK example), mentions his post on five ways to make healthcare more just, and the hosts wrestle with whether Americans actually value others being helped as part of their own 'value' from the system.