In his April 1 commentary “Capitalizing on Obamacare,” M.D. Harmon said that “federalization of health care” is “substantially more costly and inefficient.”

For insurance companies that may be true. But for the general patient population, Harmon’s statement is false.

During my 40 years of medical practice, my office staff handled increasing numbers of problems about commercial health insurance, but seldom such problems about Medicare.

Medicare is a federalization of health care and is a much better example of efficient use of health care dollars than is the general health insurance market.

Roger E. Condit, M.D.

Farmington