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We spend twice as much on health care in the United States as any other developed country for the same, or poorer, outcomes. No doubt this is partially because of the appalling labyrinth Mr. Conason describes and also because of massive greed on the part of insurance companies and the pharma industry. So, it's quite possible that if done correctly, health care reform could actually end up costing us LESS while covering virtually everyone. Of course, this would surely have a significant negative impact on the bottom line of the very powerful health care industry, an industry that shovels vast amounts of lucre into the campaign coffers of the congresscritters (Republican and Democrat) who are now responsible for health care reform. This is why meaningful change, sadly, is probably not going to happen.