"Medicare 45 years ago and the current health care legislation are historic in that they are both huge coverage bills, focused primarily on distributive justice: a country as prosperous as ours should ensure affordable access to health care for every American. But Medicare was a reform bill, and today’s Congressional bill is not. Without substantive reform that includes purposeful alignment of incentives throughout the care delivery value chain, spending will skyrocket, deficits will definitely increase, and the country’s recovery from recession will be slowed. With passage, we should immediately unite and commit to a true reform initiative that is patient-centered, provider friendly and consumer driven, fueled by 21st-century information and choice."


He's very much right about that "purposeful alignment of incentives throughout the care delivery value chain". Of course, he's not in the Senate anymore, so he's not really bound by political considerations.