Not going to talk politics, my point in posting this is the comment made about one of the goals being to put more power in the hands of the patients (whoa, what a concept!), removing layers (and layers) of management and bureacracy, and make the system more efficient (which I understand means, put it at the local level).
Here's the link, I hope this leads to better, more patient-focused care for the folks over there...
http://www.nytimes.com/2010/07/25/wo...n.html?_r=2&hp