dearest doc i know you're already shocked that democratic new jersey threw out its democratic billionaire wall street governor but most of the health care system in the united states is controlled regulated and operated under close government control and government agencies they set the fees and reimbursements decide what drugs and treatments are legal and reimbursed and control the licensing of educational institutions and training requirements have you not heard of medicare medicaid and ssi and those are just the federal entities there's also state departments of health osha and licensing boards are you sure you live here in this country i'm beginning to wonder