Perspectives on Health Care Reform When speaking to a colleague about health care re-form, Senator Edward Kennedy said, “Look, there

are about 15 ways for this to happen. But you’ve got to find the one to make it happen ” (1). Although most stake-holders agree that U.S. health care is a mess and that we must find a way to substantively reform it, there is little agreement about how to make that happen. Things might be less daunting if, as Senator Kennedy suggested, there were only 15 potential solutions. On the contrary, it seems that the number of ideas about how to fix health care might soon rival the number of uninsured Americans. Although this abundance of ideas can be diz-zying, it is good that lots of people are actively thinking about the issue. Fixing health care in the United States won’t be easy. Substantive reform will require much cre-ative thought and a willingness of various stakeholders to step out of their own boxes. To generate dialogue abou