David C. MacDonald

In the following viewpoint David C. MacDonald argues that a single-payer health system, in which universal health care is subsidized by a federal tax, would severely limit an individual’s options regarding care. He contends that patients, not the government, should control where their health care dollars are spent. Returning control to the patient, MacDonald maintains, would help keep health care costs down and ensure quality care. MacDonald is a practicing physician and a founder of the American Association of Patients and Providers, a nonprofit membership organization.

As you read, consider the following questions:

1. How is a single-payer system similar to a managed care system, in the author’s opinion"
2. Why are medical policies comparable to car insurance policies, as stated by MacDonald"
3. As reported by the author, what...