The trouble with american health care is … you have an ugly insurance scam [ i mean company ] squating between you and any health care you may need . how is changing this system going to ‘ gut ‘ the care providers ? they will still get paid . us Brits are rightly proud of our NSH for all it’s faults at least anyone can get health care without some bean counter suggesting euthanasia as the cheaper option – shame Barak has not got more balls to stamp down the big business VAMPIRES and start a popular movement like one of your more proactive presidents did to climb out of the depression .