We are now facing some of the most sweeping changes health care has seen in decades. Reform is needed, but increasing government control over one‐​sixth of the economy and over important personal and private decisions — as many of the proposals aim to do — would harm American taxpayers, health care providers, and patients. Cato Founder and President Ed Crane frames the health care debate at the Cato Institute’s conference on health care reform held June 17, 2009.