The two tier system that is being created under the auspices of Obamacare can be broken by following the alternate path of free market medicine which is alive and well and thriving. By removing the insurance company and government middlemen, a patient will find that their costs will drop precipitously. They will once again have their choice of doctor, have the procedures they want, have a quality relationship with their doctor who will be able to spend time with them, and know what their costs are up front. The options are myriad. Each of these strategies provide an option that will give the patient true control of their health care dollar to spend in a system where there is true competition that is driven by innovation, customer service, collegiality and personal responsibility on the one hand instead of cronyism, control and coercion on the other.