Employee benefits are always important to any businesses to maintain a good work force, so there are wider rage of benefits available from the businesses to their employees. It’s also critical to the financial security of federal and state governments – which have sharply reduced spending for schools, parks and social services to pay medical bills. For community providers, this may mean exiting or establishing partnerships in complex service lines, such as cardiac surgery or care for rare cancers.\n\nTraditional hospitals got Congress to include an 18-month moratorium on new specialty hospitals in the 2003 Medicare law , and a second six-month ban in 2005. For his health coverage, Mark trusted his insurance agent, whom he’d known for decades, more than he trusted the government.\n\nThe percentage of the population in high-deductible health plans is now well into double digits, and it is rising. So I began asking people whether they thought that health care was a right. A new way to measure costs and compare them with outcomes. Indeed, I suspect that our collective search for villains—for someone to blame—has distracted us and our political leaders from addressing the fundamental causes of our nation’s health-care crisis.\n\nIn a recent IRS survey of almost 500 nonprofit hospitals, nearly 60 percent reported providing charity care equal to less than 5 percent of their total revenue, and about 20 percent reported providing less than 2 percent. Indeed, confiscating all the profits of all American companies, in every industry, wouldn’t cover even five months of our health-care expenses.\n\nThe law narrowed the yawning disparities in access to care, levied the taxes needed to pay for it, and measurably improved the health of tens of millions. Is this really a big problem for our health-care system? Nonetheless, the benefits of a consumer-centered approach—lower costs for better service—should have early and large dividends for all of us throughout the period of transition.