The great "healthcare" debates in Washington over the last few years have not really been about health, or even healthcare, but about insurance and access. They have obscured vast and deep changes taking place throughout healthcare, the practice of medicine, and the communities in which we live.
(11k)
The old system does not work. If you cling to the old system you are dead, a dinosaur, your hospital is going to close, you are going to lose your job and your employees are going to get fired. Change or die.
(35k)