But it is not anywhere close to a market system now. That's one part of where this entire debate has been disingenuously presented. People get their health insurance from their employer, with very little options to choose from. People worry about their out of pocket change, and little else. Employers pick the plans for reasons of their own. Plan insurers pick the providers for reasons of their own. No one who really would care has any reason to pay attention to quality and cost relationships. Wyden Bennett would have changed all that, drastically. We weren't allowed to discuss it.