Quote:
	
	
		| 
					Originally Posted by sebastian_dangerfield  The only true reform that would make docs and patients happy would be a direct fee for service system. | 
	
 The only systems that are at all understandable (in the sense of not making a giant tangle of the incentives) are direct fee for service and single payer.
But I'm not sure how one could get from here to direct fee for service.  Pass a law making health insurance illegal?  I will leave it to the board's resident constitutional scholars to opine whether that is doable (I guess maybe), but as you say it is politically impossible.  And my guess is that it would only lead to new pre-payment schemes and the like that would basically re-create insurance unless they were outlawed too.