People with serious medical conditions quickly discover that there are three key components to effective medical care. The first is a timely and accurate diagnosis. Getting the right diagnosis may require not just a second opinion, but a third and a fourth. The second component is a complete list of treatment options. Multiple opinions and options require the free flow of information that only a competitive health care marketplace can deliver.

The final component is the freedom for patients to choose what they judge to be the best course of treatment. Patients and their families are best qualified to make these decisions because they are the ones most directly affected. Under Obamacare, it’s presumed that government officials are better qualified to make these decisions, and it’s a safe bet that they will be instructed to weigh each patient’s anticipated future contributions to society against the long-term costs of keeping that patient alive.