It’s a mystery what we will be getting for healthcare policy this coming year, but for those in the know it isn’t a mystery that the system is dysfunctional and unlikely to become less so. Healthcare premiums are increasing at so rapid a clip that it is being questioned whether it is even affordable for those living on a median income. The most recent political effort to reign in this trend has not been successful and is likely to get scrapped. Ultimately, no political solution is likely to make much of an impact unless the underlying approach to medicine changes. That is, that our healthcare system is “reactive”. We treat sick people rather than working on keeping them healthy. Keeping healthy people healthy is cheap; treating chronically ill people is very expensive.