I believe we can incentivize more affordable health care in general by better regulating insurance and creating meaningful competition for health care services.

Half of all women who are sexually active but do not want to get pregnant need publicly funded services to help them access public health programs like Medicaid and Title X the national family planning program.

Some of the best health care services are free or cost very little and are even available to millionaires but hardly anyone knows they exist.

Over 120 Aboriginal communities run their own health services - some have been doing so for 30 years. They struggle with difficult medical problems. They also try to deal with counselling stolen generations issues family relationships violence suicide prevention.

And under the existing circumstances I understand there are situations where people indeed need care and need services but I believe in America that the majority of those people are getting those services under situations and circumstances that are afforded to them by their health care providers and their state government.

Prevention is one of the few known ways to reduce demand for health and aged care services.

Today we have a health insurance industry where the first and foremost goal is to maximize profits for shareholders and CEOs not to cover patients who have fallen ill or to compensate doctors and hospitals for their services. It is an industry that is increasingly concentrated and where Americans are paying more to receive less.

The only truly individualistic health-care choice - where you receive care that is unpolluted by anyone else's funds - is to forgo insurance altogether paying out-of-pocket for health services as you need them.

Obama seemed poised to realign American politics after his stunning 2008 victory. But the economy remains worse than even the administration's worst-case scenarios and the long legislative battles over health care reform financial services reform and the national debt and deficit have taken their toll. Obama no longer looks invincible.

One lesson that every nation can learn from China is to focus more on creating village-level enterprises quality health services and educational facilities.