McGuire and Anderson bring the findings of the behavioral biology of group cooperation to bear on the vexatious problem of healthcare reform. One of the few certainties that we have is that the approach of the last 50 years--arguments between advocates of government or private insurance--has led to intractable gridlock. It is thus necessary to ask whether the initial assumptions buried within this controversy might have fatal flaws. In the authors' views, they do. Our modern society would never tolerate funding of any other necessity or convenience by such clumsy methods. In short, McGuire...