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The problems of America's health care system can best be addressedthrough market-based solutions. The evidence indicates that undernational health insurance, the promise of coverage becomes healthrationing, access to universal coverage means delays in access tocare, official fairness yields to favoritism by officials, freedomof choice becomes coerced conformity, and democratic deliberationis replaced by bureaucratic decision-making.

This Viewpoint discusses the importance of considering the values that respect for autonomy promotes, including nonintrusion, sovereignty, authenticity, best in

Priority setting during the COVID-19 pandemic: going beyond vaccines Format Summary box Development of vaccines is a major breakthrough in the fight against the SARS-CoV-2 virus. Much attention has been paid to how to prioritise between patient groups for vaccination and how to ensure equity, especially in low-income countries, but there are other important decisions that need to be made. These decisions include: (a) choosing between the various vaccines that will become available, (b) continuing to invest in other aspects of the COVID-19 response and (c) balancing the COVID-19 response with ...