A wonderful piece by the Manhattan Institute's Peter Huber in the City Journal explains that one-size-fits-all medicine is giving way to tailored medical treatments that allow physicians to target treatments to individual patients based upon their own specific genetic code.
So the conflict is clear: Centralization or personalization.
Is it possible to have both? I doubt it. Once politicians taste political control over such a large sector of our economy, it is extraordinarily difficult for them to back away.