White clouds drift along the Intracoastal. Traffic backs up as the bridge rises to allow a sailboat and a yacht to pass through. My American coffee doesn't look or taste American at all. It is Cafe con Leche, topped with foamy cream. I sip the strong brew while I wait for the young man who owns the Vapor Shop where I will be doing bookkeeping today. This is a hell of lot better than working in a cubicle.
To fundamentally engage the American public in the future of the health care delivery system, we need to see value through their eyes as people endeavor to live their lives to the fullest, despite limitations. This can best be achieved by putting quality of life measures on the same level with quality of health measures to truly drive health system change.