Let's start by acknowledging that our health system is broken. Some 47 million of us are uninsured, an embarrassment in a nation this rich. The growth of medical costs is unsustainable—not just for families and companies but for federal budgets. And while the quality of U.S. care can be the best in the world, it is ridiculously uneven.
Unfortunately, though, President Barack Obama and health reform advocates in Congress have been acting as if finding the right solution is as easy as admitting there's a problem. In other words, they're still campaigning on the issue when what's needed is a detailed conversation with the American people about the hard choices involved in improving medical care.