<html><head></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; "><div><br></div><div><div>The Wall Street Journal</div><div>December 18, 2012</div><div>Cleveland Clinic Diagnoses Health-Care Act</div><div>By Anna Wilde Mathews</div><div><br></div><div>Just over a year from now, the Affordable Care Act is set to unleash enormous change in the health-care sector, and Cleveland Clinic Chief Executive Delos "Toby" Cosgrove is preparing his institution by expanding its reach and striving to make caregivers more cost-conscious.</div><div><br></div><div>WSJ: Do you think employers will stop providing health insurance, even though they can pay a penalty under the health overhaul law?</div><div><br></div><div>Dr. Cosgrove: The first ones will be the small companies... Every CEO I've talked to knows how much he'd save between insuring his people and paying the federal penalty.</div><div><br></div><div>WSJ: What does that tell you?</div><div><br></div><div>Dr. Cosgrove: The first time some big player does that, it's going to fall like dominoes. What that does is drive everybody to the exchanges.</div><div><br></div><div>WSJ: What does that mean to you?</div><div><br></div><div>Dr. Cosgrove: It's going to be a faster move towards one payer. Increasingly, people think that in 10 years you're going to have 75% of the health-care costs paid by the federal government.</div><div><br></div><div>WSJ: You think we're moving toward a single-payer system?</div><div><br></div><div>Dr. Cosgrove: Well, the question is how long...I don't think in the next 10 years, but I think it probably is going to head in that direction.</div><div><br></div><div><a href="http://online.wsj.com/article/SB10001424127887324677204578187613286882532.html?mod=health_newsreel">http://online.wsj.com/article/SB10001424127887324677204578187613286882532.html?mod=health_newsreel</a></div><div><br></div><div><br></div><div>Comment: Cleveland Clinic President and CEO Delos "Toby" Cosgrove confirms what Physicians for a National Health Program has been saying all along. It's not whether we'll ever have single payer, it's how long.</div><div><br></div><div>It's our job to expedite it.</div></div><div><br></div></body></html>