The first step to creating a better health care system is being honest with ourselves about the scope of the problem we face. This means recognizing that the current system isn’t sustainable and that current reform measures don’t do enough to rein in costs. Once we accept that fact, we can begin to take responsibility for our roles in the crisis and resolve to make the tough decisions that will curb spending and shore up our system. I firmly believe we can and will solve this problem and make North Carolina a national model.