The looming Affordable Care Act health insurance mandate seems to be inspiring constructive disobedience. Yes, doctors are now "outsmarting" this government mandated health care system and moving towards a cash only system. This is leading to more affordable, expansive care for many - as the red tape is eliminated. Quality, affordable health care will return to America, not through blind compliance to mandates, but from those who completely defy the health insurance system altogether. As doctors move toward a much simpler system, they can charge less and also spend more time caring about their patients instead of dealing with unneeded paperwork.