Editor: The solution to rising health-care costs has been around since 1965. It is called Medicare. Medicare pays providers based on what it costs to provide a service, not on what providers charge, which is usually several times the Medicare allowable. Obamacare does little to reform the current insurance system, which depends on employer-provided health insurance and for-profit insurance companies, and it does little to control costs. Employer-provided health insurance is a historical relic, not often used in other developed countries, which have generally adopted national health insurance, and where access to health care is considered a fundamental human right. Medicare for all is the one means of controlling health care costs, but it will not be easy to implement in America, a country which lacks long-term goals or a sense of community, and where political power is concentrated in the hands of the few who benefit from the status quo.