In David Brooks’s Times column this morning, he recommends that President Obama read this clearly-stated essay in this month’s Atlantic. Now, I implore, you read it. I did earlier this week on a long plane flight, and it almost made me sob half a dozen times. When a patient is covered by Medicare, the layman author writes after a year’s worth of research into the system’s underbelly, he’s not the patient any more: Medicare is. This brilliant piece doesn’t just point fingers, it offers solutions. But they will require an upending of our entire system, and there are only a handful of members of Congress with the guts to do so: everybody else is in the pocket of Big Pharma and the hopelessly fouled insurance industry. What it will take is enough people who understand what needs to be done to rise up. Are there enough such people in America? We’ll see, but they face fierce, mean foes.