What big change in health care really looks like

Health care reform is an evergreen topic that keeps thousands of health policy wonks busily wringing their hands. Yet, little meaningful reform ever takes place, while spending continually rises at an unsustainable rate. 

It’s as if we’re watching the famous psychology experiment where participants are so focused on counting basketball passes that they fail to notice a person in a gorilla suit walking through the scene. In health care, we’re so fixated on the min...