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We have the last 30 years' track record of a privately-oriented health care operation, whose evolved financial structure and incentives are so skewed that the provision of care -- which is the point -- is far too uncertain for too many Americans, even those who are covered. The market is perfect for defining supply-and-demand for things like bicycles and sporting goods or plumbing services, but not for organizing and delivering health-related skills and resources. It is not appropriate for ensuring the health and well being of an entire nation of citizens. If government is not doing a good job at the tasks we assign it to do, we at least have the power, whether we use it or not, to change it. There is very little power to change what corporations have to do to ensure their continued growth. That is the essential disconnect here and why too many people speak in absolutes while passing in the night. Health care needs to be served by the private market, just like a city hires a contractor to build a library, not controlled by it. It is amusing to hear status-quo supporters blast the idea that health decisions will be made by the notorious "government beaurocrats," when they are now made by private sector bean-counters. Maybe that's the choice: publicly accountable beaurocrat vs. privately incentivized employee. Really, we can do a hell of a lot better than that.