Few Americans realize the size of the problem. Healthcare costs America $2.5 trillion a year. That’s a problem alone. Remember, at the same time, the wars in Afghanistan and Iraq have cost the U.S. about $200 billion a year. That’s tiny compared to healthcare costs. You hear people say, “If we weren’t involved in two wars, we could afford healthcare costs.” No we couldn’t. It wouldn’t make much of a difference. But here’s the bigger point about healthcare: Defense spending totals $1 trillion a year, but we’re winding it down. The problem with healthcare costs is that they’re accelerating: They’ll grow from $2.5 trillion to $4.5 trillion within 10 years because they’re growing at about 6% a year. So if we can’t get that fixed, organizations won’t be lean enough to grow or to do other things they need to do, like export. Healthcare costs have become the biggest problem that companies have — or cities, counties, states, and the federal government. Nobody can afford healthcare. This is the biggest barrier to job creation that America has.