As Americans head to the polls, they will be casting a vote in one of the most important elections of their lifetimes.

Until the emergence of Donald Trump, both parties received financial support from the medical-pharmaceutical complex during elections. For that support, they allowed the American health consumer to be fleeced like sheep. We pay up to 10 times more for drugs, hospitalizations, and radiology services than other developed countries. Obamacare is the zenith of that exploitation.

Obamacare was a tax bill masquerading as health care reform. This election may be our last chance to free ourselves.

The American people knew that Obamacare was a terrible idea — it was forced on them despite their opposition and sold with a pack of lies. It was the lie of the year, actually, that you could keep your doctor and your plan. And now it is dying a slow, ugly death.

It did help people with pre-existing conditions to get insurance, and that was one good thing that many agreed was needed — but that ended up increasing health care costs, not reducing them.

Some may have cut their spending because of higher costs — but that’s not a cost savings. That’s getting by with less because the prices have skyrocketed, and it’s due to the special interests that control our politicians.

Related: Obamacare Hikes Are Hammering Swing-State Voters

So as you walk into your polling station, please think hard about your choice.

After the last eight years, do you still think government must be the solution — or is it the problem? Remember, this same government has actually legislated less competition, and a lack of negotiation for drug prices and medical procedures.

Albert Einstein once reportedly defined insanity as “doing the same thing over and over again and expecting different results.”

We’re not rich anymore — we’re in debt. We can’t keep subsidizing the rest of the world, and that’s what we’re doing because the special interests have gotten control over our medical-government complex. It’s just like the military industrial complex — but this is medical.

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Too many of my own colleagues don’t understand the economic fundamentals of health care in America. If you want to have a serious discussion about our economy and our government’s spending dilemma, you have to start here — simply because the amount of money involved is more than a third of total government spending and roughly one dollar in five spent in the economy as a whole.

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Resolving this throughout the “health” system, starting with but not limited to pharmaceutical firms, fixes the budget permanently at federal, state, and local levels. It also resolves all of the issues related to health care availability and affordability in the U.S. Hillary Clinton has promised to double down on current policy and fiscal irresponsibility with “Obamacare 2.0.” Donald Trump has proposed to reduce costs with free markets.

For years, organized greed by the medical-government complex has defeated disorganized democracy and free markets. Sadly, even among my physician colleagues, I’ve learned that facts and policies don’t matter to most of them. They are like the rest of America — they care about their income and their fears. Obamacare was a tax bill masquerading as health care reform. This election may be our last chance to free ourselves.

Dr. Ramin Oskoui, a cardiologist in the Washington, D.C., area, is CEO of Foxhall Cardiology PC and a regular contributor to LifeZette.