Destructive Interference

Health care reform is complicated enough without getting confused about the reasons we need to change things:

1.     We ought to care about ensuring adequate health care for everybody because we’re decent human beings.  

2.     We ought to lower the cost of health care to everyone because it’s in our self interest to do so and we’re not damned fools.

Either motive should be sufficient in itself to motivate reform, but appealing to both of them at the same time in the usual muddled way weakens what should be an irresistible case.