Cover ; About This Issue Guide; Introduction: Health Care: How Can We Reduce Costs and Still Get the Care We Need?; Higher Spending, Poorer Health; What Can Be Done?; Option One: As a Nation and as Individuals, We Need to Live within Our Means; Competing Values; Making Medicare Last; The Conversation; More at Stake; What We Could Do; Option Two: Make Health Care More Transparent, Accountable, and Efficient; Follow the Money; The American Way of Birth; Increasing Coordination, Shutting Out Big Pharma; End the Seller's Market; What We Could Do |