Pick Your metaphor looming ice, freight train a mind-bending code onrushing.
This is the image used on Rochester this week to explain the American healthcare system is costly and complex moving famous, own and federal reform, towards fundamental change.
As costs rise, consumers who dare in Rochester and elsewhere will be more demanding, more discerning buyers of insurance services, hospital care for prescription medications.
government reform, through federal affordable care Act, already happened, regardless of how the Supreme Court rules next summer on health insurance mandate. Employers also are becoming more demanding, providers and employees, in a drive to reduce the burden of the cost of their health in a tough economy.
But will be one of these reduced costs? How does one change the economic system that established a $ 3 trillion?