In posts here and here FutureOfCapitalism.com mentioned that both the New Yorker magazine and President Obama were touting the Mayo Clinic as a model of how health-care delivery should work. Here is the Mayo Clinic's reaction to the health-care overhaul bill approved by Rep. Charles Rangel's Ways & Means Committee: "the proposed legislation misses the opportunity to help create higher-quality, more affordable health care for patients. In fact, it will do the opposite. In general, the proposals under discussion are not patient focused or results oriented. Lawmakers have failed to use a fundamental lever – a change in Medicare payment policy – to help drive necessary improvements in American health care. Unless legislators create payment systems that pay for good patient results at reasonable costs, the promise of transformation in American health care will wither. The real losers will be the citizens of the United States."