This is odd. Matthew Yglesias just excerpted a bit of a post at my personal blog, which I didn’t think was up to AngryBear standards. Far from it for me to question the judgment of a man who recently reached half my age. Here is the bit he liked
One politically unfeasible approach to this would be to assign people randomly to HMO’s and pay the HMO’s based on their health but have the HMO’s pay for their health care. Then the HMO decides incentives. You have to decide how much a life is worth (and eyesight and all that) but it doesn’t depend on individual income and the decisions are made by an organisation with tons of data.