Insurance companies are hot targets right now in the debate over skyrocketing medical costs and health care reform.

But there is another, little-noticed factor could also be sucking untold health care dollars out of our pockets, and it's one we seem loathe to address: the part that doctors themselves have in quietly pushing up the costs of our medical care. This is an area that is begging for closer scrutiny, and in which patients need more help.

What do Americans need most right now? Jobs. If you wanted Americans to buy your snake oil, what would you promise them right now? Why, jobs of course, even though the snake oil being peddled is the very thing that sank the economy in the first place.