1. If insurance companies really want to have the market control things, perhaps we ought to consider doing away with their antitrust exemption.

2. While we are making them compete, we should also do away with the ERISA based protections that health insurers have so that the contracts they make are actually enforceable. If you consider the chances of these first few proposals going through, you come to realize the insurance companies really do not want to compete in the market place.

3. Medicare is a huge government run health care program, and I don’t see it getting in the way of providing seniors with all the health care they ever want. Medicare along with Social Security is the third rail of American politics. It may be that no one loves Medicare, but few on Medicare are wanting for access to care.

4. I do see private health insurers impact the health care decisions people make on a regular basis. The bureaucrat between you and your doctor now is not employed by the government, but by the health insurer that wants to make a buck off your premiums.

I do not have great handle on what is being proposed and am not sure that in the end I’ll agree with it. It is worth considering changing the structure for how health care is provided in this country because it has become enormously expensive and does not provide adequate access to care for many.