The Avalon spout about knowing the difference between a physician and mechanic is probably that the mechanic is not rewarded by a strong lobby in the state houses and Congress for a salary and perks that are consistent with a monopoly, and the second reason is that the mechanic is held accountable for the job done. That my friend is the difference between a physician and a mechanic. We simply need more competition, more bidding in a medical industry that is anti-American in every way. The right way isn't the AMA way but the American way, a few-market system.