The American health care system is made up of dramatic contrasts. On one hand, the quality of medical care available can be the best in the world. But on the other hand, quality varies greatly among providers, it is increasingly unaffordable and there is little transparency into quality and cost.

Dramatic changes to the status quo are necessary in order to create a health care system that is universally high in quality, affordable and egalitarian. In order to create this high-value health care system, everyone involved—from patients and doctors, to employers and insurance providers—must demand change.