Not only would the change of thinking on the part of the people of the country be necessary, but the politically powerful AMA would fight this concept. A nationalized health care system would eliminate the exorbitant fees charged by insurance companies. Granted, there are drawbacks to this type of system, for treatment might not be delivered if considered futile, but we have to be realistic in our approach. The technological advancements available today need to be utilized judiciously. If basic health care needs of all were met then the distribution of advanced treatments could be implemented to those who are still productive.
Tort reform is necessary, also.
Limitation for malpractice fees could do away with the hidden costs. I can make a difference. Through communication with elected officials that have been voted in according to their stance on health care, I can avoid the internal conflict of ignoring a situation of injustice. Since Anglos first came to California they have altered the natural flow of water to meet their needs. Beginning with the transformation of the Delta to the present many of California's rivers have been dammed and diverted.