Can top-down solutions—like the Patient Protection and Affordable Care Act (PPACA)— solve the problems in the U.S. medical care system? Dr. Steve Feldman continues the conversation with Dr. Richard Amerling, Director of the Association of American Physicians and Surgeons. Dr. Amerling points out, with plenty of personal experience to back it up, that socialized medical systems don’t adequately incentivize physicians to do the hard work of giving patients great medical care. Amerling points out that private practice, with patients directly paying for and receiving care from a physician, is the best way to provide medical care.