Here is another guest article for Drishtikone. John Hammergren is CEO of McKesson Corporation, the Fortune 18 health care services leader. McKesson serves customers at every point of health care and is helping transform the industry into a modern, efficient, and quality-driven system. McKesson has seen industry-leading performance under Hammergren's leadership. During his tenure, the company has more than doubled its revenues and experienced a cultural and business renewal. Hammergren is an HP board member and the recipient of numerous awards for leadership. He is the author of Skin in the Game: How Putting Yourself First Today Will Revolutionize Health Care Tomorrow. by John Hammergren It would be easy, in this long run of important presidential primaries, to be convinced that the problems we have with our health care system can only be resolved through government action and the political process. After all, presidential candidates Hillary Clinton, Barack Obama, and John McCain have each made health care reform a central issue of their campaigns. Political races are all about emphasizing stark differences between positions. But I am encouraged by how much today’s political leaders recognize that our health care crisis – despite that word “care” – is fundamentally a business problem. California Governor Arnold Schwarzenegger is one of those politicians who understands the urgency for reform. The health care company I lead, McKesson Corporation, turned 175 years old this year. To help us celebrate that proud milestone, Governor Schwarzenegger spoke passionately and convincingly about the opportunities we have before us to bring the health care industry to another level of excellence. I believe he’s right. Historically, every twenty years or so, we have a debate in this country about health care reform. So what’s different now? We’ve enjoyed incredible advances in medical practice and technology over the last few decades. That’s one reason why overall costs have risen but it’s also why American health care, despite the criticism currently in vogue, is the envy of the world. On the other hand, with the best of intentions, the political solutions traditionally put forward to make health care cheaper and more accessible – like artificially capping costs, regulating the services providers offer and restricting consumer choice – have had the opposite effect. Nobody who runs a business is surprised about that. What computer maker or car dealer would worry about price, access or quality if there was no competition for the customer and no reward for distinctive service? Business leaders across the country are keenly aware of these issues. I am a member of the Coalition to Advance Healthcare Reform, a group of more than 50 companies advocating solutions to the health care crisis. In regular conversations with top executives, I hear the same concerns frequently. First, because health care costs are soaring, our employer-based health insurance system is hurting American businesses and the economy. Every product or service an American company offers is more expensive than it should be because employee health care costs are added to the mix. In a global economy, this is making it harder to compete with companies abroad. Second, business leaders, with their background in competitive markets and customer service, look at our health care system and think, “What other industry could operate like this and survive?” Read more