Below are some of the many many issues requiring "change". I wish all of you who do more than write about these the best of luck in implementation.

Medical change: it's not about supplying health care for the poor, it's about supply better health care for everyone at a much lower price.

• doctor and professional training

• The elimination of the insurance companies and lawsuits - if you are so valuable, insure yourself for malpractice, not your doctor.

• All research is by the federal government which then can collect royalties from sales aboard. This puts research into the areas most important to the country, not to profits. Private research is not that effective in any case: lots of drugs with high prices that end up ineffective. Researchers are paid less than the sales force!

• Spending excessive amounts of health care in old age when it is least effective. One of the many tough decisions.

• A national health care run by people who care. It's much cheaper and,  yes, can be much better.

Education change:

• Accepting the needs of the leadership to be properly educated, even at the expense of political correctness.

• Accept tribal education paths.

• Not everyone should go to college, but everyone has a right to be trained in something.

• No debt for graduating doctors going into the armed forces for internships and a couple years service.

• Need to have the proper "really like doctoring" profile to be supported by government. This does not stop anyone else paying for their own education.

Pharmaceutical change:

• Salespeople are out replace by salaried account execs

• Governments support their own labs with bonuses and long term reasonable income from good work

• Researchers make better salaries without having to pay people who talk too much and contribute far, far less.

• No public/retail advertising for any prescription drug or treatment