Monopoly is another word that seems to have lost any useful meaning. We are surrounded by monopolies and nobody seems to care.

If you have two main players in a market and they both are financed, insured, supplied, serviced and largely owned by the same entities it functions economically as a monopoly even if it is a duopoly. Competition is just a show.

As it is now the hospitals are largely owned by the same entities who own the insurance companies and pharm companies, etc. Shake the box and the pieces fall right back together even if they look a little different.

True that.
Call me an optimist but I still haven't given up on HR 676

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You're a daisy if you do.
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84 Euro 240D 4spd. 220.5k sold
04 Honda Element AWD
1985 F150 XLT 4x4, 351W with 270k miles, hay hauler
1997 Suzuki Sidekick 4x4
1993 Toyota 4wd Pickup 226K and counting

It is just good something somewhere in the current American health care system has started to change. I was not expecting the Vermont type move at this time.

The acts changes in Washington were so confusing. That alone I thought brought time against any really signifigant change. No American should underrate the signifigance of the Vermont move either.

It is equivelant to an earthquake. I did not think it was really on the horizon by anyone at this time. If Vermont can make it work other states will. Still it is 2017 as a target total implementation date by Vermont.