While there are periodic calls from lifbertarians and others for the privatization or elimination of the program, given the first political opportuni… - Michael Johns

The tragedy of Africa seemingly has no end. Viewing it from afar, the casual Western onlooker can be forgiven if the scenes begin to meld: Ethiopian famine in 1987, Somalian civil war and ensuing famine in 1992, and now Central Africa in 1997. The pictures and footage assume the role of media footnotes: snapshots of hopelessness, disaster, and death that seem as far away as the moon and as unrealistic as some science fiction film. Yet, like the African crises before it, the tragedy of Central Africa is very real and, in a global age, perhaps not as distant as some would like to think. With a foreign policy appropriately rooted in some sense of humanitarian decency, the Central African crisis will not be easily ignored by American policymakers. It screams for remedy.

What, exactly, is the cost of this inaction? Estimates of the total national cost of medical malpractice range from $20 billion to $45 billion annually. But this number hardly tells the whole story. There also is the more hidden cost of defensive medicine, including unnecessary testing and second opinions that send patients scurrying through processes that would not otherwise be ordered and deepen the financial burden of America’s health care system by an estimated three percent of our country’s total health care expenditures. Who ultimately pays these costs? Reckless doctors? Faceless insurance companies? Seldom mentioned, the totality of these expenses ultimately falls exclusively on the consumer, since each malpractice award translates ultimately to increased malpractice insurance premiums, which, in turn, translates to either higher health care costs, fewer physicians (with less competitive pricing pressure), or both.

The time has come to stop talking about the lessons of Vietnam, and to start talking about the lessons of Afghanistan."