Risk adjustment for catastrophic coverage is one thing; I have a harder time forcing one person to pay for another’s out-of-pocket costs.

Too bad the only choices have been a rather extreme progressive package, a slightly less extreme libertarian proposal which goes in the opposite direction, and the status quo.

As a “dictionary conservative” I’d like to see incremental change, quite possible in a libertarian direction, but much more cautious than what has been proposed. This seems to put me right in the middle of the three existing options, none of which I find palatable. “Circular firing squad” seems the wrong analogy; perhaps “scorpion surrounded by a circle of fire” comes closer.