alex capron: if general motors is thinking of adding a new technology, putting a robot on an assembly line where they used to have a person, they're going to say, "can we make a chevrolet more cheaply using this new technology?" what we've done in health care is apply technologies, not to make another chevrolet, but to make a cadillac. so we take conditions that were previously untreatable, and we now can treat them. well, that's a good, but what we've done is sort of increased the overall level of expectation of what health care can provide. or we take a treatment that was developed for a very limited use and make it more widely available. so we have arthroscopic surgery that was intended to correct very bad medical problems for people, and now it might be used so that the 60-year-old who has a little tennis elbow can continue to beat his grandson at tennis, rather than just saying well, maybe, at some point, not every attempt to rebuild a human being ought to be part of what we expect in society. it is not only the expectations of society, but the fact that most medical expenditures