The definitive treatment is Paul Starr's Social Transformation of American Medicine http://www.goodreads.com/book/show/142863.The_Social_Transformation_of_Amer

The definitive treatment is Paul Starr's Social Transformation of American Medicine http://www.goodreads.com/book/show/142863.The_Social_Transformation_of_American_Medicine http://www.goodreads.com/book/show/142863.The_Social_Transfo... Tl;dr: adverse selection is one of many reasons we are where we are.