What does the end to Organization Man as the pattern of employment and changing family structures (or if you wish, the breakdown of the traditional family) mean for how we think about paying for health care? Plenty, says Dalton Conley, a lefty professor at New York University.

He would assign more responsibility to government than I would, but he does have some insight on the implications of economic and social  changes.

Writing in the New York Times magazine, he says in part:

"Traditional approaches to welfare payments, health insurance and education have proved hard to sustain in a world in which women with children typically work, employees frequently change jobs and many children in a school district may not be citizens."

His idea for dealing with the uninsured isn't the worst that I've heard of (faint praise, I know):

"In health care, for example, the government could act as a pooler, forming health-insurance-purchasing cooperatives, randomly assigning unaffiliated individuals to groups that would then contract with private insurers."