You have given us the "audacity of hope" and the promise of change. You have vociferously indicated that our health care system is in need of major change. You have said that 50 million Americans are uninsured. Medicare is moving toward bankruptcy and taking down the economy with it. But where is the change, Mr. President?

It seems that the for-profit segment of the health care industry (pharmaceutical companies, AMA and the American Hospital Association) have got your ear....