It is a well-known fact that the United States spends more on health care each year than any other nation — a stunning $2.4 trillion. While much of this care has important benefits for health, Americans generally do not receive the highest quality care possible, often leading to significantly worse health and preventable costs. According to the 2008 National Healthcare Quality Report from the Agency for Healthcare Research and Quality, “despite promising improvement in select areas, the health care system is not achieving the more substantial strides needed to close