The only truly individualistic health-care choice - where you receive care that is unpolluted by anyone else's funds - is to forgo insurance altogether paying out-of-pocket for health services as you need them.

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Domestic discretionary spending on education and health care and the environment has been growing at 2 to 3 percent a year. He says we have to rein it in but he ignores the spending category that is the big spike in the budget.