The predicament of government health planners is that they have singled out the profit motive as a serious troublemaker in the national health enterprise, and they believe only government can tame it. But they work for a President who is seeking to neutralize the conservative Reagan threat to his nomination by campaigning against government, a tactic that is popular even in the absence of Reagan.With that background, we are on the way to understanding the mismatch between diagnosis and remedy that characterizes a newly issued and important government document, HEW's second annual Forward Plan for Health, Fiscal Years 1977–81 . . .