Wasteful spending on health care is not a trivial problem. It represents resources that could be redirected to, say, higher wages, R & D budgets, affordable housing, or climate change adaptation. Yet it is a problem the political class has pretty much downplayed or ignored, probably because serious spending reform would anger a lot of voters, especially the healthcare workers who lose their jobs or get their pay cut as a result of reform. Luckily, the media and some politicians are finally beginning to grapple with the issue