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President-elect Barack Obama has begun preparation for the debate on healthcare. His website www.change.gov, is soliciting comments already. Clearly the current system is unsustainable. The U.S. spends the most in the world on healthcare (16 percent of our gross domestic product or $2.3 trillion) yet there are 47 million people without health insurance. Many of the uninsured rely on the emergency room for their needs which is very expensive.

Regardless of the direction the Obama administration takes, there will always be winners and losers with reform. I read recently that France's system, which is often displayed as a national healthcare system that succeeds, only compensates doctors in the amount of $50,000 to $100,000 per year - half to one-third what doctors in the U.S. earn.