The key to solving health care quality and cost is to make medical and insurance providers compete for the people's market dollars instead of tax dollars. As long as providers are competing for government dollars under government controls, they know that the subsidies and monopoly will allow them to continue to raise prices and reduce service quality. They all know this of course, which is why the biggest lie of socialized medicine is that it helps the poor. Elites know the truth that socialized medicine is actually a huge welfare program for the medical, pharmaceutical and insurance companies.