The town hall/Tea Party event I attended yesterday AM was with local State Representatives/Senators, as opposed to Congressional, but I heard a lot of good info about what's happening in Boise this session.
For instance, the Legislature is trying to pass "Any Willing Provider" legislation that would end managed care organizations (MCO) practice "to selectively contract with only those providers necessary to enable the organization to provide patients with adequate access to services, and quality, cost-effective health care."
This proposal would also require health care providers such as hospitals to fully disclose the cost of procedures before the service(s) is provided.
For example that Dr. "D"

has privileges at "ABC Medical Center" & "XYZ Hospital" and gets the same fee. Both are rated as high quality facilities and XYZ actually has a lower incidence rate of cross infection mainly since it's a smaller hospital. A colonoscopy costs say $4400 at ABC but XXZ charges only $1100. However, Brian's MCO, Blue Cross of ID, has selected ABC as it's sole in-network provider. At an 80/20, Brian will pay $880 out of pocket for his procedure as opposed to $220 if it were done at XYZ, (after meeting the annual deductible).
Yes, Brian still has his "freedom of choice" and cam elect to go to XYZ but at a higher cost
This is the kind of HCR & "good economics" I "think" we need.
What say you, Grandpa et al?