Because some decisions are too sacred for government bureacracy. I teach a current affairs class a UIC and one semester a student told the class about her grandfather (or uncle I can’t remember) who was told by his doctors that he would have to stop taking his pain medication because it was causing his kidneys to fail. This gentleman was suffering with rheumatoid arthritis, and so life without pain medication was a torture few of us can imagine. But continuing to take his medication would shorten his life by a number years.

Live a longer, more painful life? Or die sooner but have better days?

How do you make this decision? Only the individual suffering can really assess his quality of life and balance it with his pain. Only he can know whether the trade is worth it.

Socialized medicine doesn’t just socialize paying for health care, it socializes decisions about health care. Anyone telling you differently is selling snake oil. But how can society make such difficult decisions? What metrics? What measures? What is “quality of life” anyway?

There are of course pratical reason why socialized medicine won’t work. But to me the personal reason is the more profound.