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From Jon Kingsdale, director of the Massachusetts health insurance exchange, on reining in healthcare spending in America:

If you’re going to do health-care cost containment, it’s going to have to be stealth. It’s going to have to happen before any of the players understand what’s happening.

Well, either stealth or main force, anyway.  If the former doesn’t work, eventually we’ll resort to the latter whether anyone likes it or not.

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