This is a presentation by Dr. Samuel Metz. The United States needs health care reform. Our health care is the world’s most expensive. It is near the bottom of the industrialized world, and -- unlike that of other industrialized countries -- it is bankrupting families and businesses. Real reform should provide universal access, reduce costs, and improve health. The Affordable Care Act achieves none of these goals. If the U.S. wants to change our health care system to provide better care to more people for less money, we should model ourselves on systems that already succeed, not on dysfunctional models. Metz is an anesthesiologist who lives in Portland and works at hospitals and surgery centers in the Willamette Valley. He is a founding member of “Mad As Hell Doctors” which advocates publicly funded universal health care. His opinion pieces have appeared in the New York Times, and the Oregonian among other places.