Reply #59: That's why most of us that have tried to reform this mess go with the

[Greyhound]

single payer model that we tried to get in CA. It doesn't change anything regarding the actual practice of medicine, just sets the rates that will be paid for a given procedure/item/treatment. Of course there will be abuses and the penalties for it must be meaningful, but with a central payer database spotting abusive patterns will be much easier to catch. Bad news for the insurance industry that will spend hundreds of millions to defeat it.