I think that napkin presentation really made a great point. Providing health care and paying for health care are two completely separate activities. And to some extent -- though I suspect there's actually a bunch of overlap among the players -- the activities are at odds with each other.

The discussion in the U.S., for better or worse, has narrowed to the payment side. No one seems to be talking about the care provision side, except to point out failures in other countries' systems.