The passage below was published over a year ago, but it has deeper meaning as we watch Obamacare force millions of patients out of their health coverage and/or away from their doctors.

It’s from a study by the Institute of Medicine — the masterminds who have spent well over a decade engineering the mess we now call Obamacare.  Last year they produced a study on cost-reduction that stated, in essence, the revolution in healthcare delivery would not go without pain.  The Summary Brief for “Best Care at Lower Cost” concluded with these words:

The entrenched challenges of the U.S. health care system demand a transformed approach. Left unchanged, health care will continue to underperform; cause unnecessary harm; and strain national, state, and family budgets. The actions required to reverse this trend will be notable, substantial, sometimes disruptive—and absolutely necessary.  [my emphasis]

Incidentally, if the cadence and tone of that last sentence sound a little like Donald Berwick, it is not surprising.  The report was issued by a committee chaired by Mark Smith, retiring president of California HealthCare Foundation (CHCF).  Under Smith’s leadership, CHCF has been funding Berwick’s Institute for Healthcare Improvement (IHI), and Smith was recently appointed to IHI’s board.

(While we’re on the subject, I’ll post here a listing of some of the other CHCF funding, which has included funding for POLST distribution, as well as over $300,000 to the radical (and pro-abort) activists at FamiliesUSA for a healthcare navigator program.)