Although the Affordable Health Care Act represents a step in the right direction to encourage all Americans to self-serve medical services, the bill fails to do so. address the root causes of system problems. America's healthcare system is flawed because it is a nonprofit model that puts profits well ahead of patients. When profits come before patients, the result is a failure to fulfill the ethical duties of a healthcare professional. A gradual transformation of the U.S. health care system would systematically destroy the harmful nexus between corporate and health care interests. The relationship between doctors and pharmaceutical companies is well established and well documented. Major news outlets like The Atlantic, as well as peer-reviewed professional journals like the New England Journal of Medicine, cover articles addressing potential ethical conundrums between doctors and pharmaceutical companies. Shaywitz (2013) described the problem as "a gang of evil dealers paying vulnerable doctors to prescribe their latest expensive, mediocre product", while defending the special relationship that has developed between doctors and corporations pharmaceuticals (p. 1). Shaywitz's (2013) argument is based solely on an opinion based on estimation. Most established professional journals suggest that collusion between doctors and pharmaceutical companies leads to a range of potentially harmful problems for patients. In an article published in the British Medical Journal, Moynihan (2003) finds real empirical evidence that doctors' prescribing habits change measurably as a result of skillful marketing techniques used by representatives of the pharmaceutical industry: techniques ranging from of free... middle of paper... ...Campbell, EG (2007). Doctors and pharmaceutical companies, scrutinizing influence relationships. New England Journal of Medicine 2007; 357: 1796-1797. Carollo, K. (2010). Pay the dirt: Hundreds of doctors have made big money from pharmaceutical companies. ABC News. October 25, 2010. Accessed online: http://abcnews.go.com/Health/Wellness/drug-companies-payments-doctors-revealed-database/story?id=11929217 “Let the Sunshine In” (2013). The economist. March 2, 2013. Accessed online: http://www.economist.com/news/business/21572784-new-efforts-reveal-ties-between-doctors-and-drug-firms-let-sunshineMoynihan, R. (2003 ). Who pays for the pizza? BMJ 2003; 326: 1189. Shaywitz, D.A. (2013). Between doctors and pharmaceutical companies. The Atlantic. May 7, 2013. Accessed online: http://www.theatlantic.com/health/archive/2013/05/getting-to-the-right-relationship-between-doctors-and-drug-companies/275605/