The Health Care Marketplace in the U.S. has 6 major partipants: Doctors, Hospitals, Insurance Companies, Employers, Government, and Individuals. Each of them has interests and incentives, and they tend to clash. How we resolve those competing interests has consequences for the systems we create.
Links:
https://www.michigan.gov/documents/mdch/2013_Brochure_409310_7.pdf
https://en.wikipedia.org/wiki/Trolley_problem
http://www.palain.com/?page_id=307