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NinjaguyDan said:

The the whole idea of a trigger mechanism is total bullshit.  
Why do I say that?  
I'm glad you asked.
The way I see it, given the current debate over health care reform, in the mid to late 19th century vernacular, "that trigger has done been pulled".

From what I've heard, $400,000,000,000 (yes FOUR HUNDRED BILLION DOLLARS) a year are siphoned out of the system for executive pay (must be nice to get money you haven't WORKED for)  and dividends to stockholders.

I posted this list in another thread, these are JUST the CEOs of the six worst offenders:

Stephen J. Hemsley UnitedHealth CEO
2007 Compensation $13.2 million
2008 Compensation $3,241,042
Total Value of Unexercised Stock Options $744,232,068---WTF?!?!?!?
2009 Options Exercise $127,001,281


Edward Hanway CIGNA CEO
Five-Year Compensation, as of April 30, 2008
$120.51 million
Total Value of Unexercised Stock Options
$28,881,000


Michael McCallister Humana CEO
2007 Compensation $10.3 million
2008 Compensation $1,017,308
Five-Year Compensation Total $15.1 million
Total Value of Unexercised Stock Options $60,865,194
2006 Options Exercise $22,294,710


Ronald A. Williams Aetna CEO
2007 Compensation $23 million
2008 Compensation $24,300,112
Total Value of Unexercised Options $194,496,797


Allen Wise Coventry CEO
2004 Compensation $13,052,799
2006 Sale of Stock $14,458,251
2006 Options Exercised $2,895,000
2005 Sale of Stock $46,410,695
2005 Options Exercised $6,709,564
2004 Sale of Stock $12,826,756
2004 Options Exercised $4,798,000


Angela Braly WellPoint CEO
2007 Compensation $9,094,271
2008 Compensation $9,844,212
2006 Sale of Stock $4,858,585
2006 Options Excerise $4,566,124

(Then add in the pay and perks for all of the junior and senior executive parasites plus stockholder dividends)

 Now, I'll ask YOU a question: how is that right?  Those people have to be absolute sociopaths to think that they desreve what they're getting paid.

It looks like a ponzi scheme to me.  The health care system is riddled with parasites.
Under a government run single-payer system those expenses are eliminated thus freeing up FOUR HUNDRED BILLION DOLLARS A YEAR.

If insurance company profit and CEO bonuses are the reason for the high healthcare costs why does medicare and medicaid cost (roughly) the same amount per person covered as private insurance?

In reality-land the statistics tell us that the cost of insurance company profit and executive bonuses are (roughly) offset by the inefficiency of a public system and the core problems with the cost in the American healthcare system lie elsewhere.