Who is entitled to what?

With resources becoming scarcer, providers, payers, and governments alike are grappling with how to best use these resources to serve the American people. Should the focus be on caring for individual patients (microallocation)? Or should the focus be on how to best serve a group of people (macroallocation)? Whether tax monies or health insurance premiums, pooled resources are always limited resources. Macroallocation involves trade-offs and setting priorities, but in the end, rationing is an obligation.