"Giles" wrote in message
...
First you have to gut three or four of the largest, most deeply
entrenched, wealthiest (and therefore most powerful) and highly
connected commercial institutions in the country; insurance, health
care, pharmaceuticals, and medical equipment/supplies. Not
"reform"......gut. After that, the next step doesn't matter much
because that isn't going to happen......who would do it?


who indeed? Especially since no one would wish to live through the 'gutting'
of the health care, pharmaceutical or medical equipment industries. Therein
lies the issue I put out on these pages a few months ago: it has been a long
process getting us to the current f-ed up stage, and it cannot be quickly or
painlessly undone. It's not just about the 'connected' part, either. At
present, our healthcare delivery absolutely depends on those industries and
their ongoing output, you couldn't 'gut ' them without severely limiting
care for a significant amount of time, unless we were to 'gut' them
gradually. And that, as I tried to point out, requires an overwhelming
public perception that healthcare is a public service, not an industry.
Tom