Greg Scandlen had an op-ed in the Boston Herald discussing the seldom-covered news that there’s a health reform already happening: giving patients control of their health-care dollars. President Bush’s biggest health-care success was tax-free Health Savings Accounts (HSA), which started up in 2004. One in five working-age Americans are now in a HSA-eligible or other consumer-driven health plan, and the results (lower cost, better adherence to treatment) are encouraging — which is why the new regime wants to abolish them.

— John R. Graham is director of Health Care Studies at the Pacific Research Institute.