In the comments on my about-face on health care, a number of people make the familiar criticisms of the Canadian system. Care is rationed. You wait a lot longer for certain elective procedures than in the United States. Technology is not as up to date, etc. etc. These arguments are, to some extent, entirely accurate. But I'm not sure they are relevant. They aren't criticisms of the system, after all. They are reflections of the how well the system is funded—and that's an important distinction. On a per capita basis, Canadians now spend on health care—and I"m not sure of the exact figure here—something like 60 percent of what Americans spend. If that were increased to, say, 65 percent, many of the rationing and wait-time problems would be alleviated. The problem with American health care, by contrast, is systemic. No simple increase in funding fixes the problem. In fact, we already spend far and more the most on health care than anyone else in the world. This was the mistake I made in my original debate with Adam Gopnik. I confused funding problems with structural problems.