This is a complicated question. Our current system is the worst possible combination. Health Care for most Americans is already rationed, they just don't know it. The rationing takes place by denying coverage to the poor, the elderly and children, while denying legitimate insurance claims for those of us who can afford health insurance but who cannot afford the lawyer it takes to contest rejection of "usual and customary" claims. Not getting the optimum care they need, on the other hand, children, elderly and the poor suffer from chronic and degenerative diseases that may have been curable in earlier stages but which finally end up costing us all dearly when they get really sick. On the other hand the wealthy and the lucky few with good insurance sometimes get more care than they need with expensive tests and procedures that aren't really necessary. Much of the "rationing" that would occur in Health Care reform would be to eliminate unnecessary and wasteful procedures that drive up the cost for tax payers while making the insurance companies rich. It is no accident that insurance companies countinue to increase their record profit margins while actually providing less and less coverage for fewer and fewer people. Planned rationing rather than the current rationing would make sure that everyone who wants it can have a minimum standard of health care while insuring that all of us, including the federal government, don't go broke.