From the comments:

Re: my post

e-Patient Dave says:

Yeah, perfect – something like this is my fav way to introduce high-tech newbies to the world of healthcare. “Dude, this is VAST – imagine THIRTY Microsofts AND thirty Googles.” re the odds of change: consider how much resistance you’d get if you tried to eliminate 10 companies the size of Microsoft and 10 Googles. (That’s what we’re talking about if we succeed in lowering America’s healthcare costs by 1/3, so our per capita costs match the rest of the world).