Reason Magazine is a no-holds-barred free enterprise at any cost libertarian podium which opposes government regulation of anything, including pollution and tobacco. Ergo, predictable bias on upcoming health care reforms. Also note the author is a science correspondent, not a medical or insurance specialist. A few of his observations need balancing; "lower premiums are essentially achieved by imposing price controls." Aren't health care costs in need of control? "Medicare reimbursements already run 71 percent and 81 percent below what private health plans pay hospitals and doctors." Doesn't much of private insurance pay for excessive overhead? The Wal-Mart style downward pressure on providers is admired by free traders, but deplored if used by government. "the market for medical innovation would be smaller, everybody will get worse care" But many providers are encouraged to provide excessive testing and treatment, as a percentage of the total bill. "taking decisions out of the hands of doctors and patients and placing them in the hands of a Washington bureaucracy." Or out of the hands of insurance denial specialists.