Is there a difference between being forced to buy insurance that your Doctor doesn't accept, and being without insurance? 

In one case, you can't go to your Doctor, in the other, you can't go to your Doctor.

Isn't it time to quit worrying about who is paying for care, and start addressing how care is provided? 

Yesterday's RG had a promising story on a proposal to allow Nurse Practicioners to perform vasectomies. Elsewhere the VA has moved to further empower NP's. 

Not every runny nose needs to be seen by an MD. Not every broken bone needs a doctor, a nurse, a radiologist, an x-ray reader and a staff of transcribers, insurance billing specialists, and occupational therapists.

Time to reform how we practice medicine, and how we consume it.