Dear Dr Dunthorpe and Dr Kali.  There was a CEO by the name of William McGuire, MD.  He was a CEO for United Health Group and managed to extract as his severance package not millions, but 1.6 BILLION DOLLARS.  That is the combined one year salary of nearly all the neurosurgeons in this country combined!  So, both of you are wrong.....it is far worse than you think, Dr. Kali, hence single-party payer is essential, not tomorrow, but today!  Also, Dr Dunthorpe you are wrong.  First, go study the difference between communism and socialism.  They are wildly different.  And yes, I too am a specialist in health care, a psychologist with over 40 years of experience.  And by the way Dr Dunthorpe....it is estimated that one-half of the visits to medical providers have no basis in physical health, but rather are emotional/psychological in nature.  And you, as a physician are inadequately prepared to address their needs!