Health care conglomerates now dominate medicine. There has been a massive conversion of non-profit hospitals to profit making entities. The Plutocratic Oath has replaced the Hippocratic Oath. The federal government let it happen. Neither the FTC nor the DOJ have challenged mergers or acquisitions between managed care insurers.
Concentrated power is the problem, yet neither party is willing to tackle that issue.
So we are left with a series of bills of rights. Not that there aren't some good in these bills. The White House wants patients to have the right to sue HMOs for malpractice. Insurers argue that allowing patients to sue would cause medical rates to skyrocket. In 1997 Texas passed legislation allowing its residents to sue HMOs has not seen a flood of lawsuits.