“The politics of health care reform can be as complex as the system itself. But you can take one point to the political bank: Presidents who want to transform the U.S. health system must act quickly after they are elected or re-elected, or they might as well not act at all. And that means the early months of our very long presidential campaign season can be decisive for the future of American health care.” — David Blumenthal, M.D., President of the Commonwealth Fund