I have been out recruiting residents, providing direct patient care, and assisting in a rewrite of the hospital bylaws so I have been unavailable to comment on the President’s speech. For those of you that watched, you no doubt noted the “shout out” given to Alabama. Turns out that “government” is the only viable competitor to Blue Cross because no one else is able to compete. Although the Republican gubernatorial candidates see the evil had of communism, I can’t help but think competition would be healthy. Blue Cross sells their policies to  businesses by offering virtually unlimited access to employees. They then try to manipulate physicians into making decisions in Blue Cross’s economic interest. Consumers, then, are encouraged to seek unlimited health care and providers are encouraged to put barriers in their way. Not the incentives that will “bend the curve“, or even give me a warm fuzzy feeling.