Call me crazy, but I want the smartest people in the world aspiring to be wealthy American doctors. I also want the greatest chemists in the world putting all of their resources into creating cures and treatments. Won't happen without a level of profitability. Did you hear about that Saudi prince who sought out the finest surgeon in all of Great Britain for his heart surgery? Me either. If we strive for mediocrity, we'll surely achieve it. And we do have Medicaid. And it's not that hard to get on, if you are truly poor. The people who feel wronged are those who can afford, but resent doing so.