A country that once led technological development in health care now l
eads the charge back to the cave, from which it took mankind 2 million
years to emerge. The problems in U.S. health care are not simple. The
refore, there are no simple solutions. True health-care reform can be
accomplished only via improved and unbiased public education, identifi
cation of the role for primary care, and the need for sub- and sub-sub
specialties. Government has an important role, but even more important
ly, as a nation, our priorities for rewards require careful reevaluati
on. Suppliers and consumers must sit down at the same table, realizing
that basic health care is not responsive to the usual supply and dema
nd theories proposed by economists. Only then can health care reform b
e considered a positive change.