Having lived and traveled in both France and other parts of Europe for several years, I believe that what we Americans think of as "cutting edge" reform and tools have been in place overseas for decades (See "CMS takes new approach to fraud," HME News, August 2011). Our government must very quickly revamp the current archaic system of Medicare and reimbursement. American private insurance companies are gouging the public with little coverage and huge premiums, which continue to rise without any effective government oversight.