Paul Krugman deconstructs health care in the current issue of The New York Review of Books.

Bottom line up front:

So what will really happen to American health care? Many people in this field believe that in the end America will end up with national health insurance, and perhaps with a lot of direct government provision of health care, simply because nothing else works. But things may have to get much worse before reality can break through the combination of powerful interest groups and free-market ideology.

The Health Care Crisis and What to Do About It