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But major surgery is a textbook illustration of what goes wrong with socialism. American medicine has been going more and more socialist over the last century. Granted, it's been done in a very halfassed way, but still, it illustrates one of Murphy's unchangeable laws: Costs expand to meet the dollars allocated for them. Medical costs are completely out of touch with economic reality these days. It's not the lack of insurance that is the problem, but the completely outrageous costs.