"Equality under the law is the slow triumph of hope over history." — Jim Cooper

Almost every economist agrees that the American health care system is unsustainable. Medical care is so expensive that it is busting all of our budgets - government, business, and personal. Eventually, the medical price bubble will pop. What, then, are the alternatives?

If we don't change, millions of American families are just one medical emergency, or one layoff, away from financial disaster and bankruptcy.

I think the job of leadership is to expand what can be talked about and to get consensus on the nature of the problem, and that is most of the job. Because once you do that, once you have diagnosis, treatment options are obvious.

The U.S. government uses cash accounting. That is illegal for any enterprise of any size in America except for the U.S. government. Every for-profit business, every not-for-profit business, every state and local government has to use real accounting except for Uncle Sam.