The lack of portability of insurance, waiting periods, and odd and ill-conceived insurance mandates that increase the cost of insurance also contribute to the impasse. This situation is not an accident, nor is it the unfortunate unintended consequence of impersonal economic forces that nobody understands. It is the foreseeable result of the deliberate and willing actions of doctors who were so greedy that they could not bear the thought of one single health care nickel escaping them. Individual doctors are certainly nice people who are kind to their dogs and so on and so forth, but the author's reading of Catholic social teaching is that they have personal responsibility for the structures of sin in health care that oppress the poor. Having established the ground rules as a matter of law, and thus creating the structure, they are responsible for the consequences.
Doctors are the ones who brought politics into the medical marketplace.
Further, there has been no outcry from the medical associations calling for a liberalization of the medical marketplace nor have they offered to free nurses from their perpetual indentured servitude to the doctors. This is an example of how the personal greed, gluttony, and social irresponsibility of two generations ago is afflicting us with social problems today.