Choice is the tag most often misused in the current health reform debacle. Aside from first year come-on gimmicks, all insurance companies are pinned to the same actuaries and eventuate delusion into collusion. The absolute minimal essentials are no more precondition clauses, no ands, ifs and buts to legitimate care, yes to county mandated free walk in clinics for all uninsured, taking the place of Medicaid , every infant hence born is given a government healthcare certificate, and price controls on all aspects of the health industry.