• Why does the US have the most expensive health care system in the world?
• Experts say the most powerful stimulus for excessive health care spending here simply results from third parties paying for care, rather than patients being responsible. Someone else is shelling out for it, so it's human nature to expect and demand the most you can get. The solution should therefore follow that in order to control costs, policy should be developed, which would require patients, and families, to share responsibility for the cost of the care. Patients need to have the incentive to look for value.
• Until the patient feels the bite, I believe there is no amount of regulation or law-

(Continued on page 7)