 Thanks to the train wreck of the government's Affordable Care Act (ACA), better known as Obamacare, large regional sick care providers and hospitals are sniffing the air for solutions that cut out insurance providers completely. The complexity of Obamacare appears to be more of an insurance company bailout than an effort toward a single-payer universal healthcare system. The ACA system keeps most of those private corporate insurance companies in the loop with a system that is enforced by IRS tax penalties for not enrolling. Because the ACA's halfhearted boondoggle to help those who can't afford private insurance winds up creating more costs for those who can afford insurance plans while creating federal deficits and higher health costs, there are hospital and healthcare organizations floating ideas around with how to cut out insurance providers completely. Dr. Ezekiel Emanuel, University of Pennsylvania professor claims that we're beginning to see what he called the 'Kaiserification' of our healthcare system. This is a reference to the Kaiser Permenente system that includes its own hospitals and clinics within their own consumer-paid coverage. Dr. Kenneth L. Davis, CEO and president of the Mount Sinai Health System in New York State, said Mt. Sinai will begin offering its own Medicare Advantage plan. It will look for other opportunities to bring premium payments directly into the hospital system, rather than filtering them through insurance companies. Davis expects organizations similar to his to move in the same direction. 'Inevitably the large systems are going to move to take part of the premium dollar,' he confirmed. Is this what we really want? All this is for a medical system that ranks 46th out of 48 nations rated. Yet, according to the WHO (World Health Organization), America's healthcare per capita costs rank second only to Switzerland, which is in the top ten for overall healthcare rankings. That means we are spending almost the very most for one of the lowest-ranking medical systems in the world. Only Serbia and Brazil are worse, while China and Cuba are better. Those socialized or single-payer medical systems generally spend less, as medical costs are usually reviewed with the intention of cutting expenses. The accusations of socialism and communism toward Obamacare are misplaced in my opinion. According to Adolf Hitler's primary inspiration for fascism, Benito Mussolini, fascism is 'the marriage of corporation and state.' He also asserted, 'Fascism should more appropriately be called Corporatism because it is a merger of state and corporate power.' Here's just one obvious example in the land of the free: Big Pharma is a group of corporations protected by the FDA, a government agency. Obamacare is designed to keep several corporate insurers in business by forcing more into chosen carriers' plans. Many countries with socialized medicine are generally more open to other forms of medical treatments than here in the USA, Canada, Australia or New Zealand. Our medical monopoly system excludes coverage for most other forms of healthcare that are more effective, less expensive and much safer. So the insurance racket is actually part of the medical mafia . Meanwhile, US iatrogenic (caused by medicine) disease and death rates exceed all other causes of death , including the top disease killers, accidents and murder. (Source below) Obamacare makes alternative healthcare choices even more difficult. Using IRS penalties for non-enrollment forces individual insurance premium payments, which many think will continue to rise. Thus, money budgeted for out-of-pocket alternative health solutions is taken out of the equation, forcing financial support for a system that harms more than helps. Call it whatever '-ism' you want, Obamacare makes health freedom more elusive than ever for most of us. And the latest strategies by mainstream medical monopolists to cut out insurance companies will only continue to promote Big Pharma's drugs and exclude safe, effective and inexpensive treatments. 