Lines up well with my impressions of the system. Perhaps my point about not doing stupid treatments was badly phrased, though: your collarbone example is one s

Lines up well with my impressions of the system. Perhaps my point about not doing stupid treatments was badly phrased, though: your collarbone example is one such treatment, and stupid isn't exactly the right word. Humans seem to have this inborn tendency to always overestimate the effects of medical care. The USA healthcare system thrives on that impulse: if there's any procedure at all that could conceivably do something and you can afford health insurance, you get it, from a full array of pointless tests to highly invasive surgery. In the UK, the system seems to work on the opposite assumption: because every cent spent on healthcare is a cent that the government doesn't have access to, it vigorously refuses treatments if at all possible. Hence, your collarbone example: most collarbones (apparently) heal easily enough on their own, so it's cheaper to assume it will and treat it later than it is to treat all of them to the maximum extent possible. "Death panel" is fairly histrionic, but it does have some validity to it. The issue is that if we want to get the American system's spiraling costs out of control, we need to recognize it doesn't have enough death panels (i.e. a willingness to say, no, it's better to give half-assed or no treatment here and perhaps sacrifice some level of well-being in order to save a couple bucks). I personally believe that people place way too much faith in the ability of medical science to perfect outcomes, and that much of what we do amounts to modern voodoo. So I tend toward thinking that doing the minimum treatment that can be justified is the better way to go.