Did you mean that post for me or George... you replied to my post but addressed it as George? - The post was for George. The easiest thing for me to do since George asked me to comment on US health care politics, etc. was to use your answer post to key off and expand from my perspective. The first quote I left was his sentence that you took off from. I think cross conversations are ok. I've just jumped into his discussion with dhw, and he responded. I think your view of US medicine and mine are pretty consistent. - I'd have made everything more clear if I had credited the quotes with your name