I am fortunate to be part of the Nuke system.   I also had the opportunity to be served by both that system and the traditional care system this year for heart issues that required cardiac specialists.    So I got to compare then contemporaneously side-by -side.   With Nuka, you are a person needing care and the only concern for everyone involved is providing the care you need.    WIth traditional, you are a revenue stream.    The primary concern is how much revenue you can provide and how quickly and cheaply they can provide it.    Nuka is far superior in the delivery of care and, most importantly cost.    The comments so far have missed the central point.    Soutcentral costs per patient are 1/20th of that the per capita costs are for traditional system care.    Profit is the primary driver for our health care system and it perverts the proper delivery of care.     Until we remove profit from healthcare, costs will be excessive and care substandard.