Good one Charlie. Thank you.  And Dr. Laufer is a good man too.  Your line:  "The forces that make markets work — supply and demand, competition and price transparency—don't exist here. For doctors with their own practices, it's a strange world in which to work. " Is a major problem in our whole system and I have believed so for years. Sometimes it makes me wish for no insurance at all; that would force the system into a more rational form. But as caring humans we can't ignore the many needs of those who have little means. I do wish the system could be changed to force more market pressures on the whole system.