UTMB Dr. Victor S. Sierpina wrote that rather than focusing on how to pay for universal health care the debate should refocus on outcomes. “Like moving deck chairs on the Titanic, focusing on how to reallocate resources in health care without looking at the causes of those costs is short sighted and potentially fatal.” He outlines three issues: Commitment to health promotion, prevention and lifestyle change; health workforce reform; and a commitment to principles of “patient-centered, low-tech, high-touch care, natural remedies and acknowledgement of the body’s ability to heal itself.”