On March 15, 2011, Town Hall Los Angeles welcomed Pam Kehaly, President and General Manager of Anthem Blue Cross California who outlined her strategy for reducing health care costs. Kehaly said three shifts must take place: Consumers need to become more savvy and shop for the best value; doctors need to shift from a volume-based to an outcome-based practice; and individuals need to eat better, exercise more and stop smoking.
 

"Curiouser and curiouser" cried Alice after she tumbled down the rabbit hole. She couldn't make sense of herself, her environment or the rules of engagement in her new world. As in Wonderland, upside down, wrong side out, double-speak and jargon have become the lingua franca of our time. We hear solutions to our problems described in platitudinous inanities - promising much, but expressed in ways that make it hard to determine if anything has been (or will be) delivered. Plainspeak, a system of expression in which what is said is what is meant, has disappeared.