Editor:

An open letter to President Barack Obama:

Mr. President, your goal of health care reform is in jeopardy and a change of strategy is required if that goal is to be saved. You have tried to work with Congress and that strategy has run its course. If any health care legislation comes out of Congress now, public option or not, it will simply add more people to the broken health care system we have now and increase the profits of the insurance industry without providing better care or cutting costs. I see nothing coming out of Congress that would start reducing health care costs, and that is key.

As you know, we have the most expensive health care system in the world, even though our national life expectancy is relatively low and our high infant mortality rate is a national shame. Far too many people die because of hospital-acquired infections and malpractice. Large segments of our population receive little or no health care, primarily because of cost. Far too many families sink into bankruptcy because of health care debt.

Instead of letting health care policy be dictated by the insurance industry, the pharmaceutical industry and other players in the medical-congressional-complex, pick a plan and stick with it.

The Wyden-Bennett bill is an example of the kind of legislation that would address the fundamental problems in our health care system, namely incentives that drive up costs and drive down quality of care. Find a bill you can get behind, or create one of your own. Once you find a bill, get the Democrats behind it and push it through. I know, its like herding cats, but at least it is easier than herding Republicans. You ought to know by now Republicans won't accept any plan that actually addresses the fundamental problems with our health care system. Republicans refuse to be part of the solution. I don't know if Democrats will unite behind you, but you have to try.

If you succeed, health care will be on the right track, thousands of lives will be saved, and the Republicans will deservedly be out of power for at least 20 years. If you fail, you just might lose your next election and the country will sink deeper into the black hole of health care debt.

ROBERT ROTEN, Laramie