The same issue is happening on a show like Everybody Loves Raymond now, which is in its eighth year and struggling to come up with good stories. It'll be interesting to see how they do. The bottom line is, it starts with the writers and ends with the writers.
I'm against big bureaucracy in Washington making health care decisions. I just have an aversion to bureaucrats. But it's not just government bureaucrats. I don't like HMO bureaucrats and insurance company bureaucrats either.