From a completely different perspective (i.e. economics rather than health care), what you describe here and in your previous rant, which if I remember well was nicked by some newspaper (for good reason, cause it was a great piece), is really of great value in the debate over privatisation, over the assumed benefits of the private market, over the role of the State, etc. In economics, models attempt to describe reality, people get so focused on these models they fail to realise that they attempt to reresent reality, but are not reality in itself. Descriptions such as the ones you offer (at a 'micro level' as an economist would proably put it) shed light on aspects which constant wrangling over economic models will never address. Please continue giving us and the world outside more of this - would you consider an 'Open Letter' to the Secretary of Health (or whoever sits in the Parliamente who is responsible for health)? I think they would listen.