Nurse Tim:
Porter's approach to health care reform is far from a bean counting! If you are really interested in the subject please read the following and the references therein.
https://www.isc.hbs.edu/health-care/...s/default.aspx
I took his course and it was very enlightening. The current healthcare debate completely misses the mark! Like most complex issues it is always a good idea to educate ourselves before forming an opinion.