Single Payer Health Systems

condition exclusion means we can move from insurer to another to save a few bucks. The Exchanges will help us sort out the more affordable insurers. Eventually, this could force private, for-profit health insurers to either give it up, or become essentially little more than like their Medicare/Medicaid administrative arms, making a few cents off keeping essential data, etc.

Would prefer single payer, or at least a public option, but that is not what we have right now.

In any event, if we really want lower costs, we are going to have to give up MRIs on every corner, the newest drugs that do little more than the older much less expensive drugs, fee choice of any doctor or hospitals, etc. I seriously don't think most Americans are ready for that, although I wish they were. If they were ready, they'd all be insured by Kaiser Permanente or a similar restrictive HMO -- but that would shock most Americans.