Congressional Budget Office data demonstrates a 400 percent increase in healthcare spending over the past 25 years. Employer healthcare premiums have more than doubled the last six years, a time in which physician incomes have trended downward. Consumer expectations are higher than ever, since we ignore the consequences of our choices and expect the medical system to fix the problem completely, today and for free. Our multi-trillion dollar healthcare system is broken and frustrated consumers are not even sure who is to blame.

I can offer this prediction: Governmental reform of healthcare will fail – not because I am hedging experience against the plan, but the current plan simply does not reform healthcare. The discussion of reforming healthcare has retreated to a mere expansion of coverage of the uninsured, with debate about the taxes and revenue sources necessary to pay the costs. The reason we have so many uninsured in this country is the spiraling costs and eroding benefit coverage. Our broken healthcare system requires reform so that every American doesn't end up on the government plan due to lack of affordability of coverage, with the excessive cost structure simply then shifted to the federal government.

True reform would create market-changing disruption that breaks down the constituencies which have coalesced and are unintentionally, or intentionally, working in lockstep to make affordable and accessible healthcare coverage unobtainable.

Every solution from the last twenty-five years has failed, the root of which is an over-simplified understanding of the variables which impact the cost of healthcare, how they interact and what type of reform is necessary to have tangible impact in both costs and duration. Because of the complexity, most proposed ideas highlight a single variable of healthcare cost and create simplified, if not naive, solutions to the problem. They receive lots of hype but inevitably fail, because they do not impact enough of the variables affected the cost of healthcare.

I am not a fan of government intervention, yet have seen industry solutions fail for a quarter century, with costs spiraling, creating endless uninsured Americans, and casting an increasingly painful burden on American businesses. Market forces have coalesced to where we have monopolies and oligopolies fighting each other with the consumer being economically harmed in the battle.

Before our government runs away with another multi-trillion dollar solution, why don't we first study and understand the cost problem, and then craft a comprehensive solution that provides for both national coverage and the essential reforms necessary to achieve lasting cost reductions so that those currently insured do not lose their coverage or have it eroded with higher employee contributions.

Read Borca's entire piece for more of his ideas on reform: Real Change in Health Care

-- Borca is co-founder of Doral Dental USA, the largest Medicaid dental administrator in the country. He currently serves as CEO of Vestica Healthcare and a Principal at Wonderbox Technologies in Mequon and most recently the co-founder and CEO of Scion Dental. Greg's wife, Heidi Borca, is a practicing physician in Milwaukee.

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