This country needs Insurance reform in the worst way. But If that is done, I am afraid that the insurance company lobbist and attornies will mold the reform new rules and regulations to better protect the insurance industry and not make is easier or protect the patient more. The only ones making money are the Insurance companies and mail order pharmacies, thru voluntary rebates coerced from drug manufactors to get on drug formularies or better tier statuses. All this does is cost shift from one group to the general public. You know the drug companies don't absorb the rebates they allow, but pass them on to the local retailers, chains or independents. When you must give a 28.5% voluntarily discount to do business with the Federal government, and non-profits get 20-60% discounts, and insurance companies get 20-40% discounts, and mail order pharmacies get the same, where do you think make up for this discounting, then there is Medicare Part D. Is there any wonder why a bottle of Doxycycline goes from $30.00 a bottle to $3000.00 a bottle in 4 months? Let's get real Insurance reform is needed. Also, copays need to come back into reality. It was fine when a prescription costs $30.00 25 years ago and you pay a $5.00 copay, but you loss sight of the value of the prescription or health care when the prescription now costs $300.00 or $3000.00 and you copay is only $20.00. It does not smart enough to contain costs. This holds true for Doctor visits, lab tests, procedures, Hospitalization, Tests of all kinds. But then the insurance companies have taken it out on the providers, when they limit the re-imbursements for services provided to unrealistic levels or levels that are 3-5 years old. Whether you are for profit or non-profit you still have to make a profit to cover expenses or you will no longer exist. That is American enterprise and basic business fundamentals. Cut out the rebates, limit them to no more than 15%, give more money to the providers, which is where the health care is being provided. $0.00 to $2.75 to dispense a prescription is way too low. heck with label costs of $0.50, transmission fees of $0.25, vial cost of $1.00, does that pay for the pharmacist time and any profit to pay the pharmacy's rent, lights, pharmacist and technician time, insurance, etc.