Under way is a quiet revolution in health care that aims to put the price mechanism to work on the $2.8 trillion health-care system in the United States (see this Monitor Weekly cover story for details). Important note: This is not about the controversy raging in Washington and the media about public health-care exchanges to cover the 47 million Americans currently uninsured. It is about health insurance that affects the 150 million Americans with access to an employer-provided health plan.