Asked about the future of health care in 2013, Bush responded, “What excites me is the imminent implosion of most of the health care establishment. What scares me is if we then prop that establishment back up and make it even harder to knock down the second time. To me, the current establishment, through no fault of its own, in fact, through its incredible success at its original intent, has rendered health care unchangeable and is reinforcing my belief that you should 'be the one to change the thing.' It's almost impossible to be the one to change the thing, even for yourself, in health care today. As you can tell by the length of my answer, this question excites me.

But if the tree falls to the ground and all the worms of health care delivery ideas eat off of it, they will generate a beautiful wildflower garden of choices. We are a society perfectly inclined to health care, health care giving. We are wealthy. We are strong. We have had the luxury of becoming extremely compassionate as a society as evidenced by the size of our welfare state, the amount of money we give to the rest of the world, the amount of protection we provide to those unable to protect themselves. We are perfectly inclined to health care but we must be allowed to shop for it, and must be allowed to provide it outside the walls of today's establishment, or we'll never really find it rewarding as caregivers or care receivers.”

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