Abstract
It is with some irony that one notes that the preamble to the Medicare law declares: “Nothing in this subchapter shall be construed to authorize any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided… .”1 To the contrary, we have, in the United States, long since accepted that the manner in which health care is funded is inextricably tied to health outcomes and the manner in which its services are available to the public.
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