Tired, very tired. No energy to even link, so you can go track down David Brooks via Bob Somerby. I didn't read the whole thing, but yes, the response to "I want to be the last one" to tackle health reform is, "who will deal with the perversities in the system?"
I never knew so many were so satisfied with this system until the last few months. I used to think everyone complained about health care and insurance companies, that the only reason it's not up there with lawyer jokes is because it's not funny. I thought everyone was a polyp away from bankruptcy and suicide, one unemployment check away from life disbarrment. What was I smoking? I recalled Sandra Day O'Connor talking about how difficult it was to make sure all the kids and grandkids were covered, and this is a woman at the top of the heap, obviously with a bit of cash for co-pay. 
But please don't take away our Medicare and our VA benefits and our company provided care or try to modify them in any way. We like it this way. "Anyone seen any perversities in the system?" "Nope, running fine, ignore that clunking sound. It's how those German cars always sound." I wonder if we offered cash for clunkie insurance policies whether anyone would come. But hey, some people like our Afghanistan policy too, and I can't make head or tails out of it.
Total spending on health care, per person, 2007
United States: $7290
United Kingdom: $2992
Italy: $2686
Spain: $2671
Japan: $2581 (2006) 
But so what. We can afford it. Paying way too much is a sign of success. Nothing perverse about that. You don't like it, you can move to Sweden where they pay 237% tax.