Hey, everything you say is true. The problem: we live in a capitalist, profit-driven economic system. That's all. Unless you take capital out of the conversation, it cannot and never will change. Spending less money on health won't make anyone more money — hard stop right there. As you correctly pointed out, playing at the edges of the health care system won't fix it, but you simply can't fix it within the profit-driven economic system to which we are married.Scot HillBeacon, New York