July 20, 2009 Poste, G. The US Healthcare System: Unavoidable Realities, Harsh Truths and Stark Choices. Presentation at the Blue Cross Blue Shield: Internal Operations Conference. Ritz Carlton, Laguna Niguel, CA (Jul 20, 2009) Home ยป Poste, G. The US Healthcare System: Unavoidable Realities, Harsh Truths and Stark Choices. Presentation at the Blue Cross Blue Shield: Internal Operations Conference. Ritz Carlton, Laguna Niguel, CA (Jul 20, 2009)