This is an excellent article by Charles Hugh Smith on events that trigger collapse of a system or economy which I highly recommend reading. As I read it, I of course thought about the collapse of the health care system we have today. It has many parallels that I think will give my patients some understanding of why the current system will not last. I think one needs to realize that even though it does not look like it from the outside, real market forces are at work and will bring down the current system, but it does take time. How long will hospitals be able to charge patients $4 dollars or more for one Tylenol pill when you can buy it at Walmart for pennies a pill? Or in the case of MRI scans, charge $5800 when several are doing the same scan and better for less than $500? But, it can take time, in the case of the feudal society- more than hundreds of years before its collapse. In the case of the old feudal society, the author states it was brought on by the printing press, which was able to ultimately educate the serfs and empower them. Remember knowledge is power and one of the greatest forms of bondage is keeping someone in ignorance. “What you don’t know will hurt you”. As people learn about the new movement in doctor direct pricing which is happening to a large extent in primary care, you will see the collapse of these outlandish prices. Unfortunately, those that profit from the current system will do all it can to keep it the same. In our neofuedal system as the author coins it, the few at the top in power cater to the lobbyist (the 4th branch of government) which give privilege to their organizations who will intern donate back to their political organization and keep the loop going. This is what I referred to in my video on heath care and politics - a doctors perspective. In the case of health care you may want to ask yourself why the hospital association, insurance industry and pharmacy are near the top for lobbying associations in the USA? In 2013 the Assoc for hospitals spent ~ $20,000,000 on lobbying! That is why you spend $4 per Tylenol pill. As Smith says it well, privilege is wealth, power and benefits that is not earned - it is taken! If it is not the price that brings down the system it will be the problem of complexity which Smith discusses. Their is no greater example than health care to highlight this point. Computers and complex billing systems instituted by insurance and government are crushing the system. It will collapse when the cost of maintaining the complexity will be greater than the return, and we are getting close. Unfortunately, Obamacare added to this exponentially as I discussed in some of my videos on why health care cost so much. So enjoy and be enlightened !