The implementation of the healthcare reform bill that was passed in March has now begun. Unfortunately, it is becoming obvious that the promises made such as: a) you can keep your physician and medical plan if you like them; b) your healthcare costs will go down; c) there will be no healthcare rationing; and d) everyone will be covered simply were not true. We were fed a steady diet of fear, distraction and falsehoods to sell healthcare reform. Why have none of these changes been implemented? Perhaps it is because this is a system that is set up to fail. When people get so fed up with waiting for treatment, or no longer want to put up with being denied care because a decision is made that the costs outweigh the benefits, the government will be ready to step in with the solution of the single payer system. Unfortunately, when that happens medical care in the United States as we know it will be lost forever, and we will be saddled with a system that even the British find untenable.