Although the Affordable Health Care Act is a step in the right direction to encourage all Americans to benefit from medical services, the bill fails to address the root causes problems in the system. The American healthcare system is flawed because it is a nonprofit model that puts profits far ahead of patients. When profits come before patients, the result is a failure to fulfill the healthcare provider's ethical duties. A progressive transformation of the American healthcare system would systematically destroy the connection between corporate interests and healthcare interests. The relationship between doctors and pharmaceutical companies is well established and well documented. Major media resources like The Atlantic, as well as peer-reviewed professional journals like the New England Journal of Medicine, cover stories that address the potential ethical conundrums between doctors and pharmaceutical companies. Shaywitz (2013) described the problem as “a group of evil drug dealers paying vulnerable doctors to prescribe their latest expensive, mediocre product,” while defending the special relationship that has developed between doctors and pharmaceutical companies (p. 1). Shaywitz's (2013) argument is based solely on estimate-based opinion. Most established professional journals imply that collusion between doctors and pharmaceutical companies leads to a variety of problems that potentially harm patients. Writing for the British Medical Journal, Moynihan (2003) identifies real-world empirical evidence showing that doctors' prescribing habits change measurably following the clever marketing techniques used by representatives of the pharmaceutical industry: techniques ranging from free... center of paper... ...Campbell, EG (2007). Doctors and pharmaceutical companies examine influential relationships. New England Journal of Medicine 2007; 357: 1796-1797. Carollo, K. (2010). Dirty pay: Hundreds of doctors have earned a lot of money from pharmaceutical companies. ABC News. October 25, 2010. Online excerpt: 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. Online excerpt: 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. Online excerpt: http://www.theatlantic.com/health/archive/2013/05/getting-to-the-right-relationship-between-doctors-and-drug-companies/275605/