I recieve VA health care and am quite satisfied. I also have HPN a Nevada HMO that costs me 255.00 a mo and is mainly used by my wife who is diabetic and must have adequate health care. Her medical is through a teamster retirement fund or would cost well over 1,000 a mo. She pays 10.00 a dr visit and 40.00 a specialist visit, 7.00 for perscriptions. I pay 3.00 per Dr. visit, 10.00 per specialist, and 5.00 per script. I also have medicare so thats the difference in co-pays. I feel the VA is more interested in my health than the HMO so I use them primarily for my meds and preventative medicine needs. I use the HMO for emergency visits and minor things like colds and such. If we were to institute a comprehensive medical plan similar to the VA system for all citizens, I'm pretty sure by cutting out all the middle men and insurance co.s, we could afford it without huge tax increases. It is the HMO and Insurance lobbys that prevent this from happening.