by Stephen M. Shortell, The Commonwealth Fund January 14, 2020 

The U.S. is making progress in health care delivery reform — both achieving savings and improving the quality of patient care — but the nation overall still spends inefficiently and rising costs concern many Americans

Required changes in health care delivery reform are too slow in coming and incentives for change are too weak,

https://www.commonwealthfund.org/blog/2020/us-health-care-system-reform-not-yet-tipping-point