We Must Collapse The Current For-Profit Healthcare System And Replace It With Single Payer

I have been writing about a “Not-for-profit” healthcare system (a single payer system) for years. I have shown many countries that have such systems. I have shown that they live longer, have a better quality of life, don’t go bankrupt over medical issues, have fewer dead babies, and actually see the doctors more, but are much more healthy, while spending a fraction per individual than Americans do. How can we be so stupid? How can we NOT want what these other countries (we are somewhere around Number 45 in healthcare in the world… we were once Number 2 or 3) have for their citizens?

My guess is that the answer is that most of us are too stupid to understand what I am writing about. You fall for the two party lies. You fall for the MSM’s lies. You actually like and want corporations dominating you and your life. In other words, as much as Dr. Robert S. Dotson seems to indicate that the problem is the 545 elected congress maniacs, in all actuality the problem is us. Until the current system collapses (and it will, just how long it will take is the question) his recommendations are pertinent:

In a perfect world, it is my opinion that we should have some form of single payer healthcare system and divorce ourselves from corporate medicine. In my opinion, this will not happen without the complete collapse of the present system. Since that is unlikely to occur before more seasons of national election fraud are imposed on us, a few “in-the-meantime” suggestions follow:

Avoid contact with the existing health care system as far as possible. Yes, emergencies arise that require the help of physicians, but by and large one can learn to care for one’s own minor issues. Though it is flawed, the internet has been an information leveler for the masses and permits each person to be his or her own physician to a large degree. Take advantage of it! Educate yourself about your own body and learn to fuel and maintain it as you would an expensive auto or a pet poodle. One does not need a medical degree to:

1. avoid excessive use of tobacco or alcohol or, for that matter, caffeine;
2. avoid poisons like fluoride, aspartame, high fructose corn syrup, and addictive drugs (legal or illicit);
3. avoid unnecessary and potentially lethal imaging studies (TSA’s radiation pornbooths, excessive mammography, repetitive CT scans – exposure to all significantly increases cancer risk);
4. avoid excessive cell phone use and exposure to other forms of EMR pollution where possible (the NSA is recording everything you say and text anyway);
5. avoid daily fast food use and abuse (remember: pink slime and silicone) ;
6. avoid untested GM foods (do you really want to become “Roundup Ready?”):
7. avoid most vaccinations and pharmaceutical agents promoted by the establishment;
8. avoid risky behaviors (and, we do not need a bunch of Nanny State bureaucrats to define and police these);
9. exercise moderately;
10. get plenty of sleep;
11. drink plenty of good quality water (buy a decent water filter to remove fluoride, chloride, and heavy metals);
12. wear protective gear at work and play where appropriate (helmets, eye-shields, knee and elbow pads, etc.):
13. seek out locally-grown, whole, organic foods and support your local food producers;
14. take appropriate nutritional supplements (multi-vitamins, Vitamin C, Vitamin D3);
15. switch off the TV and the mainstream media it represents;
16. educate yourself while you can;

And, lastly…

17. QUESTION AUTHORITY!

We, if we had any sense, whatsoever, would have learned the truth and done away with both faux parties and took the bull by the horns to eliminate the health insurance stranglehold over us (and those corrupt politicians who made it possible that these companies take you for everything you have). And maybe the answer is to address it at the state level, like Maryland seems to be doing.

The following series of videos presents one of the better descriptions of how a single payer system would work, how it would be paid for and how much money would be saved, how it would serve far better healthcare, longer lives, better quality of life, fewer dead babies (and an improvement in every other metric I can think of):

Also, the entire series with transcripts can be seen at the RealNews Network.

Of course, you might want to save 25% over what you pay right now?

Naaa.

h/t Paul Craig Roberts

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19 thoughts on “We Must Collapse The Current For-Profit Healthcare System And Replace It With Single Payer

  1. I can’t agree with universal health care. I worked as a critical care, cardiopulmonary RN for 20 years. I worked in long term care when I was younger for a decade. I now live in a country that has universal health care. It sucks and the physicians have no incentive to do good work. It’s not much better than going to some county free clinic and seeing doctors in the U.S. who aren’t good enough to work in a private practice or even get a job in a hospital as a hatchet man to shove people out the door. I have friends who are British ex-pats who still go back to England for their health care but what they get is crap. People who are seriously ill being given the run-a-round for months with some primary care physician who is not equipped to handle things such as cardiac and endocrine problems yet forced to do so because he’s prohibited from bumping them up the specialist chain.

    You can read all the stories in the media about how crappy health care is in America and that we rank down in the 40’s and it’s just not true. Our patients get better care in the U.S. than they do in other countries like the U.K.. The reason the Brits think their care is so great is because it’s free and they like most laymen don’t know when it’s good or when it’s bad. All they know is that they can just go to their primary care doctor whenever they want to and that makes them feel all warm and fuzzy inside as they slowly die.

    Now I will admit that our health care is too expensive. It’s too expensive by at the very least 2/3 for most procedures and in some instances it’s 10x what it should cost and that would have never been possible if both the Federal Government in concert with the insurance industries hadn’t agreed to continually increase their reimbursement to the point that even someone who makes over $200K a year combined income can’t afford to pay out of pocket for a complex surgery like say a coronary artery bypass. Think about this. When I was born some 47 years ago the cost for my delivery which included all kinds of good drugs and anesthesia and mine and my mother’s 3 day hospital stay cost about 2 1/2 weeks of pay for my dad. That would have been about $250. Today that same delivery with mom and baby kicked out of the hospital on day 2 will run you about the price of a mid-sized sedan straight off the showroom floor or to put it another way an entire median income home’s pay for year BEFORE taxes. That is what is wrong with health care. Things could never have gotten out of hand like this if the government and insurance hadn’t continually agreed to pay more and more and more and more.

    Now, want to save some money? Pay cash. Let’s talk about getting a dobutamine stress echocardiogram. Got insurance? If you do your company will be charged about $2500. Got no insurance? You can get that done for about $700. Want a MRI? That’ll be $2100 -$3500 for your insurance company. For you? Maybe $500 – $600 cash. In Turkey I can get you one done on the same equipment for $100. I can get you a complex spinal surgery, 3 discs removed, spinal stenosis taken care of, titanium rods and 8 screws done by a neurosurgeon who was a Yale researcher done in Turkey for $1500. In the U.S. that would cost you about $75,000 – $100,000.

    It’s not that we need a single payer system. We need to get the pigs away from the trough and using health care as another economic stimulus plan. If prices were in line with reality most people could afford health care instead of the majority of bankruptcies in the U.S. being due to medical bills……… even if you have insurance you can’t pay the co-pays or the deductibles. Crap, people who have insurance now choose plans with deductibles so high that they can barely afford annual normal office visits because insurance doesn’t kick in until about $5K and they’re still shelling out thousands a year in premiums. If you go to a single payer system it will be limited, care will be denied to the most sick (remember that 50% of health care costs are incurred by only 5% of the patient population) because that’s the way it works in socialized medicine countries. You don’t get to stay on the ventilator an extra week to see if you improve. You get turned off.

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    • Kristina,

      My spam filter threw your reply out for some reason and I just saw it.

      I am not sure where you live (my guess might be Canada). If so, you are only the second person of hundreds that has told me such a thing. Virtually every Canadian I have discussed this with says exactly the opposite of what you wrote.

      I will admit that England’s system is undesirable (but it is not truly a single payer system as outlined by me over the years and shown in the videos above). Like I wrote to Todd, you picked the very worst example to use. If you want to know where the good universal coverage is, search this site. I have many articles and posts that show you all the points I am making here.

      Now, I live in the rural USA and I guarantee you that your claim about America having better healthcare than Number 45 is just flat out false. I could go into so many horror stories just about me and my family to show you how wrong you are. But I understand that it was (still is?) your livelihood. There is pride, perhaps, involved. From my perspective (and countless other millions in this country) what we have is atrocious.

      But what about the metrics of what a good universal healthcare provides? By far, most true single payer type systems provide longer lives, better quality of life, less stillborn births… in darn near every way you can measure it, their systems are better. Its not just that it is too expensive here. That is an old canard. I pay far too much (and also went bankrupt) over inferior, even poor treatments (one almost killed me).
      For profit healthcare is a sham and one of this country’s worst systems. When you are set to make profit, it behooves one to have as many sick people as possible.

      Hence, why I call it sickcare, now. Surely, you agree.

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      • I am American. I have worked at some of the best hospitals in the U.S. I live in Turkey now. My partner is a Turkish neurosurgeon. I have lived in Northern Cyprus in the middle of a gaggle of British ex-pats and am quite well aware of what their situation is. I also know what Turkish ex-pats living in Belgium, Holland and France deal with in those health care systems because they come home to Turkey for treatment because it’s nothing but a waiting game in those countries for them to be seen.

        Yes the Western health care system is FUBAR and based on keeping patients sick. This is all true however in acute situations the chances of you staying alive here in the U.S. is much better than if you’re in a socialized medicine system where the decision of whether you get a few more days of critical care to see if you might make it vs the U.S. where they don’t really factor that into the equation when making decisions until it is obvious that a recovery is not possible.

        I just got to experience what socialized part of our medical system looks like. You know, the county free health clinics. I had to take my best friend there because he’s sick. He’s really sick and even though he has obvious signs of chronic severe untreated COPD and right sided heart failure their diagnosis was “You have high blood pressure”. Even when you point out to the physician that he has all these classic signs and symptoms I was told, “Well if YOU THINK he has that then you take him to the ER”. This is the kind of doctoring you’re going to get when the whole thing is “single payer”.

        I took him out of there to physicians I knew, saw and internist and a cardiologist for a grand total of $250 in cash payment and got a diagnosis of COPD and right heart failure, got him on medications and now he can walk further than just to the toilet without almost keeling over dead.

        The system is broken and if they were to go to a single payer system you’d have 50% of the doctors retire immediately. They’re all trying to figure out how to get out now because of the HCRA. It’s added 2 hrs of paperwork a day for the average physician already and the more mandates and paperwork they are required to fill out, well that just ensures that many more people will not be seen because the guy is stuck in a corner clicking away on some government for on his laptop instead of seeing patients.

        The government has not made health care better. They and the insurance companies have been the driving force behind making it worse economically from the get go. What makes you believe that the government being in charge of it in toto is going to make it any better? All they will do is restrict access by driving hospitals out of business with all the new Medicare mandates designed to specifically deny payment for things that the hospitals and physicians cannot control. That being the readmission of patients with serious end of life diseases which are basically unmanageable. If you have an 80 year old granny with end stage congestive heart failure and she comes back into the hospital within 30 days of the last admission Medicare is not going to pay for it. If it’s within 30 – 60 days the hospital will get a couple of dollar and if it’s 60-90 days they’ll get a couple of dollars more but they have to eat the cost above that, thousands of dollars. You can’t keep granny out of the hospital that long when she’s in her last year or two of heart failure. Sooooo eventually granny will just be given some diuretics in the ER (which isn’t going to cut it) and then sent home to die instead of being admitted for 3 – 5 days which would be necessary to stabilize her. It will be the same in a universal care scenario. They’ll never pay for that stuff because like I said before only 5% of the patient population chews up 50% of cost and she’s one of them. They’ll eliminate those patients by denying proper care. It’s that simple.

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        • Spam filter culled your comment AGAIN!!!! Dangit.

          Apparently, you confuse “socialized medicine” with a single payer system, as if they are the same. They are not the same. This is a very tired canard that I wish intelligent people could more easily get by.

          50% of Doctors would retire? Absolutely not.

          In the system I am talking about (as opposed to the MSM and corporate brainwashing heaped upon us to make us misunderstand the entire system), Dr’s would make far more money, cause their staff is cut to a fraction. Surely, you must know this. But not if you don’t understand what I’m talking about.

          My last surgery should have required at least a one or two day stay, but the insurance company dictated only a out patient (a fairly major back surgery). Recently, my Dr recommended I take a particular medication, but the insurance company said they would not pay. I can tell you of many such stories. Surely, you are aware (or have you been gone from here long enough to have not seen it?)

          And you want me to believe that eliminating the insurance companies would not be beneficial?

          Seriously?

          Did you even watch the videos are you simply discussing your preconceived notion of what single payer is? I never, not once, have called this a “government-run” system. But you have more than once.

          We are not on the same page and you do not seem to understand what single payer is. It is not government run, socialized medicine. But even if it was, it could not be any worse than what I experience (when I compare it to countries that actually have the type or similar system to what I have). As I mentioned, virtually every Canadian I have discussed this with thinks our system is atrocious (and I agree). Seriously, 100:1 or more disagree with you.

          I must also note that not only are you seemingly protecting you old career, but you are now partnered with a Dr. For God’s sake, am I not supposed to think that you don’t have some sort of rational for protecting a for-profit system?

          In a single payer, not-for-profit system, your partner would make as much money, but save even more for his/her expenses would be a fraction of what they are now (if they deal with an insurance leech that offers zero value added… no, they detract from care).

          Do you agree that insurance companies is the way to continue? You will have a very hard time of convincing me of that since it was them that caused my bankruptcy.

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            • Your doctor in Turkey makes $3,500/month?

              That means little to me, because I have no idea what the cost of living is there compared to here.

              You ignored the most poignant questions. Why is that?

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              • Because I’m in the middle of dealing with two breast cancer surgeries (I’m currently in Chicago) for my former partner who now needs bilateral mastectomies and also came home to find my childhood best friend 6 months worth of debilitated from undiagnosed severe COPD and right sided heart failure (he has no insurance). Both are out of work.

                I’m a little tied up and distracted.

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                • No. The everyone gets to see a doctor for about $5.50 out of pocket. The co-pay for big surgeries is probably 10%. The government pays the rest which isn’t very much. Only a specialist who does a LOT of invasive procedures or surgeries can make any money there. My g/f sees on non-surgical days an average of 50 first appointments. Follow ups are at no cost. She can spend 8 hours with her eyeballs glued to a microscope in someone’s spinal cord and at the end of the day she makes maybe $350 for the job. Ya sure you can look at cost of living but the reality is that anything manufactured is going to cost you 30% to 100% more because of VAT tax. A car here that would run you $20K is about $30 over there. Don’t even think about drinking, that’ll cost you double what it does here and that’s buying it from the grocery store.

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                • I cannot understand your logic.

                  For over three years running, I had over $20K out of pocket for healthcare each year, not including my $1200/MONTH INSURANCE PREMIUMS. My $120K home had a $1500/month note. Electricity cost me (on average) $350/month). Food is around $400/month (and I grow a great deal of what we eat). It could be much worse (and will get so quickly). I have spent out, with all taxes I can calculate, approximately 35-40% of my wages. Every car I ever purchased cost a minimum of $25K (1994 Ford pickup and a 2001 Nissan Maxima). Still own both.

                  Again, you and I aren’t even talking about the same thing when you discuss Turkey’s government run healthcare and Single payer, not-for-profit. Its like comparing apples to orangutans.

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  2. While the intentions are always honorable, they suffer from the failure of recognizing monopoly economics, government intrusion and the corruption of all systems which are monopolistic in nature and allow chokeholds on information and choice to prevent open source solutions to problems which are rather easily solved when competition is infused into the equation.
    One must respectfully disagree with single payer systems, in general. Single payer provide chokeholds and allow corruption and criminality to mete out resources. Always, without exception. The result is a Rockefeller inspired, monopoly sickcare system which forces monopolistic, technically poor and incredibly expensive therapies to be used to the exclusion of much less expensive, less deleterious and more often, effective approaches. Cancer therapy is a huge example of this, but there remain many others.
    A single payer system should be based upon the individual paying for services- to avoid monopolies, corruption and self-serving interests. Let the market respond to what people really want- pay cash and allow a deduction.
    Allow anyone to use whatever service they want- and to allow a tax deduction for same. That way alternative medicine can flourish and we can get alternative therapies for cancer, the avoidance of a criminal vaccine program and promote the health of the individual in general. Shut down the FDA, or at least limit its influence on shutting down natural therapies in favor of non-natural therapies which cause horrendous side effects and kill hundreds of thousands of individuals a year. Limit the chokehold that Pharma has on therapies and information. That is not to say remove them- just force them to compete, rather than impose some draconian corporatist healthcare construct to the detriment of the American public.
    For those who cannot pay, they unfortunately will have to suffer through using government healthcare clinics and the slop that represents. There is no way to avoid it- other than for them to be self-taught and rely on therapies which are much less expensive and effective from the naturopaths and wholistic healthcar providers.
    By open sourcing treatments and therapies, one will have a far better system where personal choice provides individuals the ability to run their own healthcare, to the exclusion of the monopolistic, chokehold, sick-care system of the AMA and American Cancer Society (both organizations founded by the Rockefellers).

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    • That is absolutely the most uneducated, idiotic diatribe I have ever read about Single Payer. You basically describe the current system, then suggest that moving to single payer will cause what we currently experience.

      Are you truly this ignorant?

      Seriously?

      You cannot, apparently, understand the single payer, not-for-profit system or, as I suspect, profit from the system and you must write such stupid bullshit to protect your job or insurance company you might own (whatever). You do not appear to be truthful, or knowledgeable in this subject, whatsoever.

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      • Not true. But I understand your frustration.
        At one time, I believed in the single payer system. I still do.
        And I fully agree with it, philosophically. And if I lived in Sweden or in Norway or in Switzerland or in France where my government had a sense of morality and propriety to it, then the system proposed would make a good deal more sense than a completely open source system does given the overreaching control of any approach which would occur in the present system by this government.
        The problem I see is one of system and whether the present form of government will allow health freedom in a single payer system. I believe that it won’t and it can’t. Too much of government resources from NIH, from the AMA, American Pediatrics Association, American Cancer Society etc. force health paradigms to be imposed and therapies to be invoked. In many instances, completely dishonestly.
        The open source system really is designed to address what are clearly dangerous protocols and practices approaching eugenics which invariably may result from a single payer system where this government provides and controls therapeutic dictates.
        For example, the flu vaccine is completely worthless compared to vitamin D3 in preventing the flu and causes all sorts of side effects (including mercury toxicity from the hazardous waste levels of mercury in that shot). How does one prevent this out of control government from imposing cost control measures using crap therapies in a system which is locked up?
        Further, the flu shot is given widely in virtually all old age homes- especially including old age homes where a number of individuals are on the dole or pensions. How many individuals do you know, for example, who claim their parents came down with the flu right after they were given the flu shot? I know a number. How many individuals were forced to conform to establishment protocols of cancer therapy by a judge or the health system because that was the prevailing approach?
        To me, the greatest threat in health is the lack or absence of health freedom. I don’t see how a single payer, non-profit system ultimately addresses informed consent issues- especially where the prevailing medical wisdom is competely erroneous.
        You have written rather perceptibly on several of your presentations of the cancer issue- in particular, with respect to the use of marijuana. While I completely agree with your analysis and the approach you take- the overriding question here (and the one which leads me to the pay as you go/deductibility) becomes whether, in a single payer, non-profit system, one would even be allowed to use marijuana /cannabinoids to treat cancer. Of course, within the single payer, non-profit system you could still treat your cancer with marijuana- all you have to do is go out and buy it and use it. By why do you need a single payer system to do that- just go out and buy it. Moreover, in a single payer system, in our present government structure, there may very well be any number of nitwits/authoritarians who would prevent you from treating yourself that way.
        I don’t think our positions are philosophically very different- we ultimately wish for the same things. Affordable care, based upon a measure of medical truth and honesty and reasonable cost for the benefit of those being treated.
        I just don’t think that a single payer, non-profit system could be installed given the realities of the present government and their impositions on reality.
        Perhaps even a better approach would be to provide your proposed system of single payer, non-profit healthcare and allow others to opt out based upon a pay as you go/deductiblity model (which would provide for catastrophic medical coverage in order to address huge medical bills so as not to bankrupt individuals) and see what system simply works better.
        That would at least address the concern that the Leviathon would impose its ugly hand to deny healthcare to you in a single payer, non-profit system. Or alternatively, maybe we can first work to completely change the government so that your system is much less of a risk.
        Please note that in disagreement I did not disrespect you.
        You’re better than that.

        Like

        • Todd,

          I hear the argument often, if this was just NOT America, Single Payer would work.

          Cop Out.

          And I am not arguing whether or not the current government or medical sickcare industry would allow it. Of course they won’t. That’s not the point I’m trying to make. The ObamaCare debacle is case in point.

          I am saying, for the thousandth time (sorry for my frustration and I apologize for lashing out), that the for-profit system already does what you suggest a Single Payer system would do. I think that is crazy talk, hence why I suggested you didn’t know what you were talking about.

          As for marijuana and Single Payer… they have nothing, whatsoever to do with each other. The fact that the cancer cure is being kept from us is far more a factor that affects a “for-profit” system, than it ever could for a not-for profit system. The profit of Big Meds and hospitals and the entire sick care industry is affected negatively. It matters not to Single Payer. Besides, the criminals want us dead, so they won’t endorse it without a mass of Americans demanding it. hence what I do to try and share what it does for people.

          Todd, did you even watch the videos?

          The numbers are there that refute your claims. Another reason for my abrupt demeanor. Its as if you didn’t pay attention, or didn’t even watch.

          Again, please forgive me. Thank you.

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          • This is a chicken and egg kind of thing.
            Honest government, your system works.
            Dishonest government, your system may work, but it will be a helluva task.
            Get rid of the Rockefellers, The Trilateral Commission (which, at its inception divided up economic responsibility to various regions based upon sphere of influence, which resulted in the US taking pharmaceuticals), Council on Foreign Relations, Pharma, Medical Institutions, etc. ad nauseum and your system works (with some oversight).
            Do all that and I’m in.
            Otherwise, I’ll probably still have go to my holistic provider (who charges me cash) to avoid the clowns and charlatans.

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            • Are you suggesting that all the countries that have some sort of Single Payer have honest governments? You cannot be serious.

              They have what I know we need and in almost every case, their governments are anything but honest.

              Of course, I agree that all you list need to be gotten rid of, but for many more reasons than simply implementing an “honest” single payer system. If you think enacting a single payer system is tough, try to rid ourselves of those folks and see what is really tough.

              Like

              • I don’t think that any government is truly honest, it’s just one of degree.
                But if you look at corruption in for example, The Netherlands, or in Sweden, they seem to steal but all indications are that they feel dishonest about it, whereas our system is designed to promote the sociopath. In those jurisdictions, a single payer system will not force a corrupt vaccine schedule on the population which is responsible for 2% of all male American children being autistic. In our system, and in Britain (which is single payer) they have been downright sociopathic about their vaccine programs- which do far more damage than would any disease it is designed to protect. The role of the military in the vaccine program is also noted here and is perhaps responsible for the draconian approach taken to mandates. If you can avoid that craziness, corruption and forced injury/death, you’d be on to something.
                As a consequence, I am very guarded about anything which is administered by a governmental bureaucracy. My first instinct is flight.
                At present, I try not to even participate in mainstream healthcare (and have been successul) because I find it fundamentally dishonest, corrupt and flawed. So my instinct is to distrust government healthcare- whatever the form.
                It’s unfortunately a bias I bring to any discussion and this probably needs to be tempered over time to look at this issue more open-mindedly.
                Cheers.

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                • Todd,

                  I see what your roadblock is: So my instinct is to distrust government healthcare

                  Heh. So is mine.

                  Single payer does not have to be “government healthcare”.

                  A system could be developed similar, but much better than Medicare. But it also could be done in other ways: a consortium that handles the payout and details of the tax monies. I am not saying to allow the government to take over and run everything. Far from it.

                  But there is no reason for having a for-profit hospital. Everyone working could make very good money. Doctor offices could be the same. But, there should be no argument from anyone who knows anything about this subject, the insurance companies are the biggest problem. They offer NOTHING for their profit. They actually destroy coverage and kill people by keeping them from getting treatments. I know, I have lived it.

                  England’s system is the worst of any example you could use, and is actually sort of the same issue we have here. As with Medicare, insurance companies still handle it and make money (profit). It is becoming more and more “privatized”, which is nothing more than the fake free market taking as much from the consumer as humanly possible, without giving adequate care.

                  Like

                • Agree with everything you said.
                  I believe we are actually on the same page, including systemically.
                  Note that two of the largest insurance companies involved in healthcare are Rockefeller holdings. Act surprised.

                  Like

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