While addressing a student question, Dr. Rosoff admitted that hospitals often have no formal framework for making the tough decisions regarding the rationing of hospital resources essential for good patient care. These important choices are often left to the medical professionals on duty at the time the situation arises. This may upset some individuals who feel it unjust to leave this important decision to a few select individuals. However, the US public and its leaders often refuse to openly debate the need for rationing care, avoiding this difficult issue by simply ordering more machines and calling for more hospital staff. Healthcare spending in the US is out of control, and recent efforts to reign in these costs have generated hot debate both in government and on the streets. Where do you stand on these issues? Is America deluding itself in thinking it can buy its way out of this problem? This current medical student certainly believes so.