Big Picture Economics • The Health Care System is over-burdened • U.S. highest cost, lowest performance (Commonwealth Report, 2010 update, 7 countries) • We can’t sustain the cost curve, it will bankrupt us.* • System rewards Drs for doing more procedures*, but not for prevention. • As much as 1/3 of procedures may be unnecessary.* • 75% of health care costs spent on chronic disease * “The Truth about Getting Sick in America”, Dr. Timothy Johnson, ABC News Medical Correspondent. 2010