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However the debate turns out, it´s clear that healthcare is big business… very big business. It´s such a big business and so many companies, doctors, and lawyers profit off it, that the government has to reduce overall growth in costs or it could take us all down into a further pit of national and personal debt. We hear about waste and inefficiencies, and if you´ve been to a doctor or in a hospital lately you´ll get many object lessons. Controlling costs translates into paring back what health insurers, doctors, attorneys, drug companies and others who feed at the health care trough take in. In particular, the President clearly has health insurers in his sights. These companies´ overhead approaches 20% (compared to under 5% for the oft-criticized government Medicare bureaucracy). Then we have the malpractice lawyers who lick their chops over large contingency fees. The malpractice bogeyman in turn takes us back to the insurance industry-doctors conduct all sorts of cover their backside tests, seek second and third opinions from various specialists, and take out large insurance policies to protect themselves from lawsuits. The insurers hire tons of private bureaucrats to find ways to lower their payments to doctors or find excuses not to cover policyholders-us. All these people who operate in the healthcare industry fill lots of office buildings. Leasing all that space costs money too.

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