"There is a real moral dilemma ... about what happens after you have defined and achieved the goal of decent" health care for all U.S. residents, Washington Post columnist Michael Kinsley writes in an opinion piece. "If a superior level of care is available, the care being guaranteed to everybody is inferior," Kinsley writes, adding, "In other words you are rationing -- denying people useful, if not vital, health care to save money" and "letting people buy their way out of the rationing if they can afford it." According to Kinsley, "in the end, the answer will have to be that of course the standard of care the government promises everybody will not be based on the principle of 'money is no object' and of course people will be allowed to do better for themselves if they wish." However, he adds, the "most ridiculous" part of the current U.S. health care system "is that we have no idea, very often, whether even the most expensive treatments do any good." The medical records of U.S. resident include "secrets that really could improve our health," but "we have to protect our privacy at the cost of our health" because the federal government might misuse those records, Kinsey writes (Kinsley, Washington Post, 6/4).