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It's time to get on with the work at hand.

No one's sure what health reform will bring. But the time for providers to get agile is now" (Deloitte 2010). As an active participant in the national healthcare reform debate for the past several years, I have been troubled by the continued lack of a meaningful dialogue about healthcare in this country. A great deal has been written about the challenges presented by the sweeping healthcare reforms included in the Affordable Care Act (ACA). The document is remarkably long and complex and almost maddeningly vague in some parts. Taken in total, the ACA looks like a version of Clint Eastwood's legendary film The Good, the Bad and the Ugly. The good is the expanded coverage and insurance reforms; the bad is the payment reductions and uncertain cost; and the ugly is the political process used to enact the law.