Wired Patient Rights: I absolutely agree with this: ". . . informed, motivated patients must play a much greater role in managing their own health if the policy goals of improving the quality of care and curbing costs are to be achieved."
More individual responsibility will be the greatest, if not the only, driver of improvements to the healthcare system. If there is no expectation that individuals will be responsible (financially, personally, emotionally) for the state of their health and the financing of their care, there will be no governor on the cost or care or its financing.