Today's preoccupation with cost shifting and cost reduction undermines physicians and patients. Instead, health care reform must focus on improving health and health care value for patients. We propose a strategy for reform that is market based but physician led. Physician leadership is...

Introduction -- Defining the Problem -- Guiding Principles of a Value-Based Health Care System -- The German Health Care System: Overview and Historical Development -- Health Insurance in Germany -- Health Care Providers -- Overall Assessment of German Health Care Providers -- The Role of Health...