If you like the health care delivery system in the United States, you are part of a shrinking minority. The growing disenchanted complain to whoever will listen. Most don’t want to hear it, unless it is an election year. Then that which wants us to believe it loves us most, lets its engine be heard – our government. Currently the campaign for a government run, single payer health care system is pulling out all the stops using statistics permissible only in a political arena, but would never cut mustard in a clinical one. The only conclusion a thoughtful person can be sure of is that Americans pay more for medical services than others in developed nations. I can give you at least five reasons why that is.