The OHA has squandered any credibility it may have garnered prior to the last few years and during the presence of COVID 19. The imposition of mandates for masks and testing to receive medical care, the closing and opening of schools, the denial of employment through vaccination requirements has given rise to a level of contempt for government authority not seen in my experience or known in my lifetime. Rule by decree from the office of the Oregon Governor and the OHA has people overflowing with disgust, outrage and contempt.

Standards for care have long been established in United States history. These standards were rejected during the Nixon administration and their rejection continued during the Ford administration. The era of Health Maintenance Organizations was ushered in. A rush for profit was sold to the American People through jingoisms and free market justifications of efficiency and lower costs. Insurance companies and their CEO's have enriched themselves while average people in need of care have been affoarded less consideration than their need for care has warranted. 

The Hospital Survey and Construction Act of 1946, also known as Hill-Burton Healthcare deployed knowledge gained from WWII regarding needs of a population for medical care and their ability to access that medical care. Appropriations for healthcare were based on population per county, per capita, per square mile using US Census data and other population and demographic data sets.

Get the insurance companies and their lobbyist accountants out of the room and allow medical professionals to develop another approach for the 21st century. An approach based on successful policy and principled application will render a better quality of medical care for our US citizens and those in life threatening trauma who are not. Harnessing knowledge and experience attained from the past, to avoid making similar mistakes in the future, will end the era of the Affordable Care Act and HMO's definitively.