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Not only does America's overly specialized and fragmented health care system make it difficult for it to respond to rapid change, it is costing a trillion dollars a year. As the US begins to develop a new health care delivery system, it must weigh its traditional values (autonomy, individuality, self determination and diversity) against the benefit of a system that promotes common good, other directedness and community. Based on a 4 year study of 11 different markets across the country, "The Transformation of American Healthcare" identifies key success factors and barriers, and offers practical suggestions and recommendations to developing and implementing a more integrated, cost-effective delivery system.