Kirk if I am following you, than the overall price of medical care won't really fall so I our brightest minds will still spend 8-12 years in school so that deals with one of my concerns. Will we have health care rationing though? I don't really want the federal govt telling people when and what type of health care they can receive. I also feel that an "everyone pays the same, everyone gets the same" program takes personal accountability out of the equation. If I don't use tobacco, drink heavily, use drugs or have multiple sex partners and I eat a balanced diet and exercise why should I have to pay the same as someone who isn't as healthy? I don't think there is any question that the insurance companies are the issue and we need to dramatically decrease the cost of health care. I think there has to be a middle ground between the system we have and a single payer system