But there are a few things we all have to own up to. The first is that most of the “extra” spending is in areas of care. So, please, let’s stop pretending that cost containment can be painless or unnoticed. The second is that, to make cost reform feasible, we will need to have all these sectors share in the pain. That won’t be popular, but at least it might be fair. Moreover, it will increase the chances of success.