Small Reforms to Improve the US Medical System The American system of medical-care delivery has no name. It is neither single payer nor based on private enterprise. It is a patchwork of cockamamie carrots and sticks, agencies and incentives, exceptions and accounting tricks, cajoles and punishments, cobbled together over some 50-100 years of legislation that itself was a product of pressure-group pushes, graft, loopholes, mandates, and subsidies. https://ronpaulinstitute.org/small-reforms-to-improve-the-us-medical-system/