Well, let's see. How about our liberal system of justice, which places unlimited liability upon our medical professionals for perceived malpractice? How about not allowing me to purchase health insurance across state lines, thereby limiting competition? How about placing 100% of the responsibility for tracking over-charges in the hands of disinterested insurance companies instead of the people who actually received the services? Just a few examples of how "the health system (got) into this precarious state..." Your answer?