Our healthcare system consumes nearly 3 trillion dollars annually yet fails to deliver the value it should. (CMS, 2014) Among 191 national health care systems the United States ranked 37th in overall performance, not to mention ranking 39th in infant mortality, 36th in life expectancy, and even poorer in adult male and female mortality. (WHO, 2000, 2009) If there is a single category in which the U.S. healthcare system ranked 1st, embarrassingly, is healthcare spending per capita. A question thus