Could the guy be a better writer? Answer, no. He takes the concepts inherent in health policy and makes them understandable. Gawande’s latest New Yorker article concerns health care costs. He relates the plan to contain costs and improve quality in the health bills to the successful attempt to do the same in American farming in the early part of the last century. The major hero? Those government bureaucrats, the agriculture extension agents (take a bow, NC State and the excellent NC Cooperative Extension service). Read this and get a sense of the success we can have at improving care and containing costs as long as we are willing to work hard and realize there isn’t any magic bullet out there.