en, you can focus on politicians and personality if you want.  I believe that the only way the health care situation can be optimized for universal affordable care is for the people, yes us citizens, to decide that this issue is important and make it the leading issue.  If people of all parties let their representatives know that universal affordable health care via single payer or nationalized medicine is required to get their support than medicine will be improved.  This partisan quibbling will get us nowhere.  This is not republican or democrat is best, both have produced plans without cost control.  We deserve better.  It will require us the citizens of this country to come together and defeat the health care industry and its lobby.  Join us.