What possible business does the insurance industry have meddling in the practice of medicine? (Hint: KA-CHING!) And why does the media so studiously avoid asking this question? Until the insurance industry is summarily removed from the equation, there can be no substantive change to the disconnected system of health care options which currently confound Americans. The huge disparity in fees, premiums, reimbursements, allowed services, and 'reasonable and customary" treatments between myriad medical gatekeepers for the same protocols and procedures--is simply not sustainable, nor is it a just or rational component of any economic blueprint for delivering medical care to the country. Yet no news outlet will discuss the possibility of eliminating insurance companies from the health care system entirely, or question their right to control the distribution of medical care. This article did not even attempt to address the elephant in the room, nor did it explain what earthly reason some 18 year-old GSE cubicle hen in utilization review might have in second-guessing the treatment plan proposed by a specialist physician, dictating to him when and what procedures and medication are currently considered medically "appropriate," thus re-imbursable. Nor did anyone explore the obvious questions like: "Why do administrators and drug reps outnumber nurses and doctors in this country?" "Why do business conglomerates control the standards and admissions of "not for profit" hospitals?" "Why does the private payer "insured" get stuck subsidizing the care of the welfare case and government contractor who don't pay a penny for their premiums or treatment" And why does the taxpayer have to pick up the bill for failed insurers and medical conglomerates. (Oh, and Big Pharma.) The only way to fix this mess is to standardize care for a standardized rate. And get the middlemen out of public health care delivery. This article did not even address why level upon of level of non-medically relevant middlemen,--all with their hands out-, have somehow been insinuated into the doctor patient relationship--raising costs to absurd levels, compromising care, and bankrupting public services.