This is an important discussion as it brings forward the twin crises of current healthcare - ethics and economics. While the intent of universal access is ethical as is pointed out by the author, the outcome is not. Inequity is demonstrated daily in our wait times with the least advantaged among us waiting the longest and suffering the most. Adding the reality of economic unsustainability only serves to deepen the ethical challenge.
I appreciate Dr. Slavcek's positive focus toward solutions. Using himself as an example, he invites each of us to ask "who do we serve?". In healthcare, no matter the player, the answer must be "the patient". With this proper acknowledgement, we would be ethically bound to rigorously include and collaborate with every other player in order to bring about the best ethical and economic result for the patient.