I have never understood why many Americans want to keep this system. Here in Europe most doctors are free to prescribe the meds they, on a professional level, think the patients need (It can vary between countries). It is the doctors who know their patients, not the insurance company. Where I live we pay our insuranse togheter with the tax and so it is done. The doctors decides about the meds. Some meds even becomes free for the rest of the year when we have paid up to a price roof. As far as I have understood many Americans call this socialism. They are wrong.