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I'd much prefer the government deciding who gets health care than insurance companies. The government answers to everyone receiving health care. The insurance companies answer to their investors. I’d be ok with insurance companies making these decisions if they were all non-profits. Anyway, I don’t see anything that looks like real savings. All of the focus is on how much the government will compensate health care providers for providing care or increasing revenue through either mandates or targeted increases in fees. Is the assumption that if we pay less it will cost less? Will the reduction in compensation really drive health care providers and the insurance industry to reduce cost while maintaining quality care? Where’s the analysis that supports that assumption and what happens if it’s not true? Why do I see hospitals in my area spending hundreds of millions of dollars to build new cancer centers when existing cancer treatment centers are treating far less cancer patients than they have the capacity to treat? Why are townships approving licensing of new cancer centers when there’s no indication that they are required to service a region? Where are the actual reductions in the cost of health care? Also, is there no other option for funding health care other than mandating people who do not use health care services to pay for health care services for others? While we can’t turn away uninsured people when they show up at an ER, why can’t we get them to pay full price for the care they receive? We can say “It’s a free country. If you don’t want health insurance, that’s fine. However, if you have a costly need for health care and you are uninsured, you will be severely punished. You will pay back the cost of care and will be disqualified from purchasing health care until you do.” Similar to when you have a bad credit rating. If people without health insurance paid for the care they received, what does that do to the finances?