second post:   In the 1980's I worked at a prominent state run Medical Center where we had people from all over the world coming to get care.  When my cancer began 12 years ago I had to go to Switzerland and then Canada to get proper care.  Now days doctors, nurses, physical therapists and nurses aids are all referred to as health care providers.  At the same time Medical schools are now filled with over 50% women; I don't decry it but I think the insurance companies wanted it that way as they believe that they can get away with paying women less.  Fact is women physicians have always made less.  Just follow the money trail and you will see why our HC system is in shambles.  Look at the edifices.  When you go to a clinic it rarely  is advertised by doctors names; it has a name like Atlantic Medical.  The money has gone to the MBA CEO's and thats were the better students are now going particularly males.  Sad for heath care....