You can barely listen to former Massachusetts Gov. Mitt Romney make a speech or give an interview without hearing some variation of this vow:
"On Day 1 of my administration, I'll direct the secretary of Health and Human Services to grant a waiver from Obamacare to all 50 states. And then I'll go about getting it repealed," he told Newsmax TV in September 2011.
A paradox of American health care is that hospitals are sometimes rewarded for doing things badly.
Patients who are discharged, for example, shouldn't have to come right back because they got worse after getting home. But if they do come back, hospitals benefit because they can fill an empty bed and bill for more care.
The federal government says, in fact, that Medicare alone pays $17.4 billion a year for unnecessary return visits.