This is a sound argument. (1) Health care services already cost more than we can afford to pay. (2) Health care service costs are rising faster than our ability to pay is rising. (3) The end results are deficits all around. (4) It is highly unlikely, and may also not be desirable (e.g. environmentally), that our ability to pay, at least publicly, is magically going to increase much faster, hence solving our past, present, and future deficit and a debt issue. (5) At the same time, we, or some of us, loudly cry out for more, mental health services, home care services, and fentanyl overdose services, for example. "We" are confused, we think we are in crisis, so there is little reason to expect that our politicians (e.g. Dr. Philpott), who need to be re-elected, will be less confused, in thought and deed. Nothing will happen until it is crystal clear who is accountable for what. Now, both the who and the what are totally confused.