There’s been a lot of discussion about reforming our health care system over many generations and presidential administrations, and most recently in the run-up to and immediate period after the election of Donald Trump. Republicans promised for 7 years to repeal and replace Obamacare only to (so-far) fail miserably at walking-the-walk. I believe the political milieu, is at best a red herring, innocuous and really noise. The fact is the value movement that we’re talking about in health care is really a market movement. The proverbial train has left the station and market principals are already starting to disrupt the industry.