he's steven george ullmann director of the health sector management and policy program at the university of miami. >> nearly 20 years ago, lee iacocca, former chrysler c.e.o. stated, and i quote, "health care costs are bleeding us white. we have now cracked the $1,000 per unit level. that's nearly three times what some of our competitors have to pay! so how can we be competitive?" today, mr. iacocca's dire warnings have come to fruition as businesses fail and services move off shore. we made an attempt at health care reform sixteen years ago, but that plan failed. and so here we are again. the elements of the health care reform we ultimately adopt-- if we do adopt-- may well dictate what happens in terms of our ability to compete and the nature of our economic recovery. congress appears focused on access, appropriately developing a way to allow 47 million uninsured to obtain health insurance. debate centers around a government health insurance alternative. this debate is a bit off-base as health care has a long history of simultaneous provision of service by for-profit, non- profit and g