Abstract
It would be tempting to suggest that the U.S. health care system is now in disarray were it not for the fact that it has never really been otherwise. There is increasing anger and frustration among employers, consumers, uninsured people, payers, and providers, all of whom are struggling with what are perceived to be competing demands to contain costs while trying to improve productivity, increase quality, and expand access to services. Clearly, our health care system needs more comprehensive strategies to address the multiple needs of different groups.We do not lack for new ideas or alternative models. In the . . .
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