Rationing is when there are not enough dollars to go around - so you ration the services to match the dollars - and it's politicians who decide how many dollars are expended. Hence - political rationing. But to answer your question - it's not an all government - or an all private solution - that's just a useless Bogeyman argument that goes nowhere. It's the intelligent mixing of government and private services - like many European countries have successfully (at least to a better degree than Canada) implemented.