Approximately one third of every dollar spent for health care goes to administrative expenses – primarily caused by our present system's multiple private health insurance companies. These companies made sure that the federal Affordable Care Act cannot control skyrocketing premiums, co-pays and deductibles.  These companies will continue to “ration care” by limiting available coverage and providers – leaving far too many Americans uninsured and underinsured.  A recent study by Professor Gerald Friedman, Chair of the UMass Amherst Economics Department, concluded that these problems would be solved by a Rhode Island Medicare for All program, in which the state would offer comprehensive health care coverage for all Rhode Islanders.