i can relate....

downsizing has made all businesses anything but humane, or human.

in the case of health care, one could say....unethical.

ironically, insurance companies have been practicing medicine on the sly tacitly for decades (if they say they don't cover it, it's not given....but they're not doctors....nonetheless, they get away with it).

i have friends in hospitals who are fed up with the system because the patient and their care is no longer the top priority. as the hospitals crumble because insurance companies want to practice medicine (which they're not trained to do or licensed to do) because they want their shareholder profits (i.e., they're on the tit of the stock market), then when people really need health care they'll be confronted with the system we have, run as a profit business, has nothing to do with providing health care.

it is primarily about making money, and that at the expense of the ill. ironically, everyone will have some illness at least once in their lifetime.

when those who want to serve those in need realize that insurance companies have no interest in providing care, but increasing profits, then the system will change.

it may end up as a cash (or barter) for care system, but those who want to care for others, will be able to do so, and those who need basic care will be able to get it.

as for the state of the art medicine.....well, if it's priced beyond the reach of those without insurance, it's the realm of the nonprofits who can write off incurred expenses (because they get grant money etc.).

i think this is part of a cycle that the health care profession is going to have to go through, and unfortunately, for those of us who care for patients, it's the ugly part....