Healthcare bureaucracy is estimated to account for as little as 14 percent and as much as 31 percent of costs. Then there's the cost attributable to legal fear from unreliable justice and reimbursement fraud that's easy to hide in the bureaucratic jungle. The bottom line is bloated costs. What these facts reveal is a vast range of opportunity for creative new approaches—from better dietary habits to better justice. I have two specific proposals for new frameworks. The first is now broadly accepted by healthcare thought and political leaders of both sides, but has been stymied so far by a powerful special interest. The second is radical, and would be considered politically suicidal.