RT Journal A1 Hoffman A, Emanuel EJ T1 REengineering us health care JF JAMA JO JAMA YR 2013 FD February 20 VO 309 IS 7 SP 661 OP 662 DO 10.1001/jama.2012.214571 UL http://dx.doi.org/10.1001/jama.2012.214571 AB In August 1910, The New York Times published an article about Paul Ehrlich, the Nobel Prize−winning German scientist, who had discovered a compound to treat syphilis—the “magic bullet.”1 In August 2010, The New York Times published an article about Americans avoiding basic and necessary health care because it is too expensive.2 One hundred years after discovery of the first treatment for syphilis and nearly 3 years after passage of the Affordable Care Act, the core health policy question remains the same: is there a single solution to improve the quality of US health care while simultaneously controlling costs?