Providence Journal editor Don Sockol ends with a question a piece that laments his daughter’s fear of losing healthcare if she returns to Rhode Island, loses whatever job allowed her to move back, and loses her health insurance:

There’s been talk about school systems banding into larger purchasing groups to cut health-insurance costs. What if everybody joined one huge group, and wherever you went you belonged?

The short answer: because groups need administrators, and the bigger the group, the huger the administrator’s power. There are very few people whom I’d entrust with my healthcare, and none whom I’d entrust with everybody’s healthcare.