National health care failed in the 1990s when Clinton tried it because the middle class who already has great health care saw that national health care would reduce the quality of the care they received and increase their health care costs. I disagree. We never had a debate about access to health care. The insurance industry deftly managed to shift it to a debate about access to health insurance, a totally different animal. FWIW, what I've read about Sicko doesn't encourage me that its emphasis is not on the same.There's something fundamentally wrong with a health care system that encourages the uninsured to forego preventive medicine then treat hospital ER's as their primary care providers.Because I had to sort out some billings I happen to have in front of me a stack of papers dealing with my cardiologist. The charge for the visit is $325.00, the BCBS "negotiated" adjustment is $206.33, leaving her getting paid $118.67 for the visit. I have to assume that she finds this payment reasonable or she wouldn't agree to be a Preferred Provider. The question I ask is why this service provided to Joe Schlub with no insurance costs $325 while the same service provided to me costs $118.67.Phil
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