Our politicians approach all subjects, not with an eye to the common good, but with both eyes focused on the wishes of their campaign fund donors and the latest poll results.  They are only mouthpieces for the true contest of wills, which is between their donors with differing vested interests.

It should be obvious to the casual observer that the US health care delivery system, compared to the successful systems in other democracies,  is outdated and not sustainable in its present form.  Both parties have attempted or are attempting fixes with patchwork attempts that address specific complaints from their constituencies but don't fix the system.  A comprehensive fix is impossible as long as financial interests on both sides of the political divide call the shots.

The core of the problem is our coin-operated pay-to-play political system.  As one politician said, "we all know what is the right thing to do.  Unfortunately we don't know how to do the right thing and get re-elected."