Americans don't have a health care system, they have a free enterprise system beholden to corporate executives, shareholders and investors from the industries that benefit the most from high costs. While pharmaceutical companies, insurance companies and medical product companies profit, taxpayers are getting squeezed at an accelerating rate. To make sense of the system and understand why the health care cost debate is only beginning you have to read the succinct words of one of America's wise men, John Geyman, MD. Regardless of what the Supreme Court decides and which party controls Washington, Dr. Geyman's words of wisdom will guide us for the foreseeable future. A must read for all interested in health care policy.