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Thus it is utilitarian in nature in its intent to foster greater health in the primary place, whereas giving restricted remedy sources first to those who medically deserve it by not having contributed self-inflicted harm.

Common health insurance is misnamed, and thereby offers the illusion of wanting to provide what's impossible to supply, or to offer with good high quality - medical remedy for all who need it. Water is God’s device for cleansing and giving life. So it's fairly clear that giving the fault to viruses is simply to in need of view and ignores the complexity of the system.
As to "managed care" -- my view is to let physicians know the total resources they may likely have available and let them decide how to distribute it based on patient need and sure outcomes, and so forth. Possibly with some form of evaluation process, however I see no reason patient care must be managed by insurance coverage corporations who can override the medical doctors.
The only mitigating factor is that though people with protection now are in a privileged position, there's all the time the prospect they may lose their coverage under the current system, and accepting common health insurance would thus be a precautionary form of "insurance" against lack of insurance by, say, shedding their job or having their current coverage canceled for any other motive.

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