1 of 3: Dennis Robbins: "The Ethical Substrate of an Obama Inspired Health Reform"

More than three decades of tourniquets and temporary fixes have eroded our confidence by failing to remedy the ills, woes and challenges of our health care system. Constructive change energized by a presidential inspired commitment to improve health care delivery can now make a difference.

Absent from the reform debate has been attention to identifying the normative ethical substrate or context to underpin and justify any mandate for change. The manner in which we optimize such goals as expanding coverage to ensure a health care choice above and beyond those offered by traditional commercial insurance, reduce underwriting exclusions payment reform and stimulating innovative and efficiency requires rethinking how to do the right thing for the right reason at the right time. Whether the issue is a stronger focus on prevention, early detection, coordination of care with extensive Health care information technology (HIT) as a keystone of the transformative process, the goal must be to create a plan of we can be proud and feel safe and secure.

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