When stepping out of his trousers to present his proud manhood to a associate – especially a new associate – a man desires to make sure he makes an excellent impression. For a subject during which high price is an overarching downside, the absence of accurate price data in health care is nothing wanting astounding. Few clinicians have any data of what each part of care costs, much less how costs relate to the outcomes achieved.\n\nSecond, providers should concentrate the take care of each of the situations they do treat in fewer areas. The acknowledged promise of client-oriented health care—We do every little thing you need close to your own home or workplace”—has been an excellent advertising pitch but a poor strategy for creating value.\n\nOrganizing into IPUs makes proper measurement of outcomes and costs easier. Better measurement of outcomes and costs makes bundled payments easier to set and agree upon. With bundled prices in place, IPUs have stronger incentives to work as teams and to improve the value of care.\n\nThe legislation narrowed the yawning disparities in access to care, levied the taxes needed to pay for it, and measurably improved the health of tens of tens of millions. With Obamacare, though, he felt compelled to pay further to help others get benefits that he’d never had or needed.