Who's not anxious to excel at cost-cutting, care coordination and quality, lest they be left out?

The "areas in which the proper reform measures could generate savings that could pay for universal coverage" include, but are not limited to unecessary and presumably unhelpful care, fraud and from the perspective of the physician, extraneous administrative expenses. Unnecessary care is believed to be responsible for as much as 30% of health care spending,2 or up to $830 billion this year alone.

The confluence of a exacerbated  health care crisis and a Presidential reelection created opportunity for change, but Robert H. Brook, MD, ScD of the Rand Corporation, a non-profit think tank, warns that simultaneously improving health care coverage, the affordability of health care and its quality will be difficult.

It's disheartening; the cure for the ills of U.S. health care lies within our grasp, yet it eludes us.  We cannot answer basic questions–What works?  What we are paying for? Are we getting what we need?  Are we getting the right care at the right time and place? QI and UM: Strange bedfellows, but both need data to communicate