The first sentence I heard in the first lecture of my first year at the University of Maryland School of Dentistry in 1970 was "in America, health care is a right, not a privilege." It took another 40 years for a true national health insurance bill to be passed, and to those who oppose it on ideological grounds I say: Deal with it!

The toothpaste is out of the tube and the train has pulled out of the station. A more constructive approach than repeatedly trying to terminate the law would be to identify those portions of it that need to be improved and amend it.

America needs a healthy population to compete with other advanced countries and to maintain a strong national security. I do agree with many critics of the bill that President Obama must do a much better job explaining the benefits of the law to a confused and skeptical citizenry. However, the need to explain the law is not a reason to repeal it.

Marc Raim, Baltimore