We could have the best healthcare system in the world for the amount of money we spend right now (or even less) and cover everyone in the United States. As you point out the black hole of "profits" for insurance companies, drug companies, HMO's etc. is the problem. I am not anti-business or against profits but the obscene levels seen in healthcare industry is beyond shameful when drugs that cost a few pennies to make are sold to dying patients for tens of thousands a year.