Isn't it long passed the time we stopped using the title "[fill in the blank] Czar" to refer to the person being assigned to tackle whatever urgent issue he or she is supposed to tackle. Based on the success rates of past "Czars," my optimism about the future of health care is waning by the moment.

Let's ditch the title and just address the problem. Or least come up with a new title that doesn't reek of abject failure (or past p.r. ploys). Caesar or Pharaoh, perhaps?