Obamacare by mandate, providing Medicare Advantage and Medicaid to uninsured Americans as an entitlement for the poor will enrich insurance companies and Big Pharma and bankrupt our economy.

Definition of Quality Care: Care that is Appropriate, Effective, Efficient, and Accessible.

For medical care to be necessary it must be appropriate and effective. To be efficient, it must provide value at a reasonable cost.

                     Value  =  ^{Benefit
                                Cost} 

Health care has value if it provides large benefit and minimal cost. Our American Health Care System fails to deliver quality care. The dysfunctional system accomplishes this at an exceptionally high cost. We spend $2.2 trillion dollars or 18 percent of our GDP in our economy’s health care sector but our system is ranked only thirty-seventh in the world. The Health Care System fails to deliver value to the consumer.

These failures of the American Medical-Industrial Complex are compounded by the failure of our society to assure access to basic health care for all citizens. A failure of access equates to no care at all.

Several organizations are concerned with quality and equality. Some of the issues they have uncovered and proposals they have made are listed below: