Many objective analysts, including Richard S. Foster, chief actuary of the Centers for Medicare and Medicaid Services, have stated that the House and Senate bills will increase health-care costs and total federal health-care spending. Jeffrey Flier, M.D., dean of the Harvard Medical School, has stated that there is near unanimity of opinion among analysts that the current legislation “would do little or nothing to improve quality or change health-care’s dysfunctional delivery system.” Thus, this legislation not only will fail to bring about authentic reform, but will make the current challenges faced by patients, providers, and the American people even worse.