so we ha arthroscopic surgery that wasntended to corre very bad medical problems for people, annow it might be used so that the 60-year-old who has a ttle 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 are paid by health insurance that blinds us to the actual costs of medical care. patients may not even know the total amount of a bill, unless they've exceeded their insurance limits. just in 1960, i was reading that 50% of the payments for health care and w 's down to about, so health insue ha cored more and mor it, i ink we' at thpoint where we expect al care to be pa for somebodelse. witht ine, most people would not be abltot the aggering bilor somthat come blue cross, blue shield, and private insurance had been around from about 1935 to about 1965, but the big change was the introduction of the federal programs for medicare and medicaid. now... t