Once again we find ourselves in the middle of a debate on an issue just as important as national defense (odds are I'll die of disease before I die from a terrorist attack) where the extreme poles just cannot meet. We all know the system is not working well and going downhill fast but we just can't face the facts which indicate neither side knows what the hell they are doing. Let's look at costs. I'm an engineer so forgive me if I use those kinds of examples. Building a home in Florida was pretty cheap till Hurricane Andrew came along and changed the building standards. All of a sudden costs went up about 20%. This is not a bad thing but I'm using it as an example. "Standards" of care in the medical industry are not really set by professional boards like in, the example above though. Oh, they have them, but the real standards are set by the legal profession and the most recent turn of events coming out of trial results. The doctors try to stay a step ahead but they aren't the ones with a lot of time on their hands thinking of how to "make a case". So they overcompensate or misinterpret things in a manner that causes waste. People like to point at the amount of money that are paid out in legal fees, court awards, insurance, etc. by doctors but a large portion of costs are going to meet those standards. What does it cost for doctor's to "cover their asses". Often these practices have nothing to do with real medical care. Tort reform is a must, nothing will change without it. There are two types of medical care. There is the type we all need to live in today's society. Childhood diseases, common colds, flu's, broken bones, cuts, childbirth, maladies of old age, etc. This care is what we all should pay for and I mean everyone. There is the other type, though. Chronic situations where one has little control and can permanently devastate not only the life of the person involved but their families as well. Those are the dreaded situations we all hope will not happen to us but they do and no average person could possibly be prepared for them. That's where a universal care system should kick in. We all take the same chances when we have children or just step out the front door every day. Some of us are lucky, some aren't, most are a little of both.