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Obamacare makes much needed improvements to America’s health insurance system. But it’s only a bandaid on a dam set to burst. Have you heard enough rhetoric, pundit posturing, and political scaremongering about the future of America’s health insurance? I hope you can indulge me a bit: I want to offer a different perspective. Most of the debate I have heard is about the ideological merits of health insurance (should people have it?) and who should be paying for it (is there such a thing as a free lunch?). The biggest issue I see is the lack of big-picture strategic thinking and evaluation. Who really cares if you are healthy or not?