Health care in Massachusetts (my home state) is undergoing a quiet revolution. A new law requires that all state residents enroll in a health insurance plan by the end of the year. Other states have, or will have, similar regulations. Meanwhile, the United States as a whole continues to struggle with new prescription coverage plans for senior citizens.
In both situations, consumers have many choices between both private and government health plans. Unfortunately, many have a tough time choosing because, as one good article points out, the plans aren't set up to match consumers' mental models of health care. In Massachusetts, some people chose the plans with the lowest initial costs, then suffered high rate increases after the plans had signed up enough new members.