Mr Schribman presents an elitist view.  For politicians and the wealthy, health care is a political issue.  But for most Americans health care costs are way too high.  Sadly the Republican's don't seem to be offering any real solutions.  Bottom line, neither establishment political party is prepared to support any plan that would give everyone affordable access to health services because that would mean rationing.  The current system works well when only a portion of the population has affordable access to care and the wealthy are not prepared to start standing in line.