Are there available untapped resources in capitalist America today to provide every single American with all the health care services that he or she desires to consume?
If "yes" then there must be a straightforward way to distribute those services to the consumer... conservatives and liberals are warring needlessly.
If "no" then somehow there must be a way to determine who will get fewer services than they desire. The market can do it in the case of private enrollees, the government must do it in the case of its enrollees. When Berwick says, "The decision is not whether or not we will ration care; the decision is whether we will ration with our eyes open." he is speaking an obvious truth.
Ah, but when you listen to his statement in context of his obvious disdain for the free market, and love for the NHS of Britain- all recorded on video- for all to see, then the truth that is obvious something quite different.