The bottom line is this: With or without the Affordable Care Act, the nation can no longer kick the can down the road on costs. Today, the nation that developed the world's most efficient and productive approaches to agriculture, manufacturing, and information technology is burdened by the world's most costly and inefficient healthcare system. It's not because we aren't smart; America boasts more Nobel Prizes in Medicine than any other nation. But incentives for innovation in healthcare have been misaligned for decades.
What has made the United States the envy of the world is its capacity to learn, adapt, and employ a no-nonsense approach to problem solving. If Americans apply these same talents to healthcare, we can quickly transform the nation's healthcare into the kind of high-performing system Americans need and deserve.