The more I think about it, the more I start believing that state health insurance exchanges and the subsequent the move toward an individual market could be the ultimate catalyst to bring that major change in U.S. health care industry everyone is waiting for. But it could simply be the wishful thinking on the part of an increasingly frustrated, middle-aged health care professional.

I’m going to throw out a few thoughts and would love to hear back from you readers if they make sense or read like idle daydreams.

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