The U.S. healthcare delivery system is stuck in "the 20th century" for failing to keep up with recent medical and technological advances, Health and Human Services Secretary Kathleen Sebelius said Thursday. The secretary said the overall experience of going to the doctor was little-changed from 40 years ago. "The only difference is the dates on the magazines in the waiting room," Sebelius said in her keynote address at The Aspen Institute and The Advisory Board Company's Care Innovation Summit in Washington, D.C. Sebelius called the disparity between the "march of human progress" in medicine and information technology, and the stasis in the doctor-patient relationship "the great dichotomy" of modern-day healthcare in the United States.