Starting health reform from here

My own preference is for incremental health reform rather than the teardown they advocate. This is partly based on answering a different question than the one they pose—instead of a blue-sky health system without constraints, how do we actually make progress given the powerful vested interests and broad attraction of the status quo? But it is also partly based on a conservativism that mistrusts large changes and worries they could disrupt what is good and functional within the current system.