To the editor: My husband is a family practice doctor and I am a registered nurse. During our careers over the past 40 years, we have watched the profit motive take over the health care system in our country. We are deeply concerned about the often devastating impact of medical costs on individuals and families – even those WITH health insurance. We are also concerned about the impact on the American economy. According to World Bank statistics, health care spending accounts for over 18% of every dollar spent in the US — and for health outcomes ranked 38th in the world (WHO, 2013). We can and must do better.