Oh Dr. Graham, I hear your frustration. Yes, we need to do better. We need to tell the selfish gits that paying for a woman's prenatal care is a benefit to everyone, not just to her. We need to simplify and streamline the paperwork burden that adds to the enormity of cost. We need to make prescription drugs affordable. We need to make peoples health not a profit center. One place to start is by increasing the number of physicians. Expand and subsidize medical education, make it easier for foreign trained doctors to practice; more doctors with less educational debt to pay off would be a good step into lowering costs. Classic supply and demand. BMW and Mercedes sales might dip a little, but there's no shame in driving a Ford or a Chevy.