Political fights over health care reform have generated countless pages of editorials, commentaries and polemics, and hundreds of hours of television and radio programming. However, the onslaught has included depressingly few carefully considered, thoughtfully presented proposals for holistic reform of the health care system. This book by Clayton M. Christensen, Jerome H. Grossman and Jason Hwang is one of a very small number to transcend agitprop and offer an intelligent way forward. Its thesis is that in the natural course of economic progress many changes will happen inevitably in the health care industry. The book explains that health care is not fundamentally dissimilar to other industries where "disruptive innovation" has brought efficiency, economy and quality. Since the health care industry is likely to follow, for example, the path of the computer industry, getAbstract suggests this book as a must-read for health care professionals, policy makers and anyone with an interest in the future of the field. Perhaps these ideas - or even the thinking provoked by disagreeing with some of them - could help shape a robust solution to a vexing global problem, if that solution survives the legislative process (evoking the old saying that you should never watch laws or sausages being made - alas, it's too late for that).