Overall, it's promising -- as a start. I don't think this will be the end, not by a long shot. A large number of critics claim that the health reform bills do "nothing" to control costs. This is not nothing -- not by a long shot. Whether it will work at all, or whether it will do enough are open questions. I also find it interesting that the providers who have been most concerned about the escalation of health care costs (I'm looking at you, Kevin) have not weighed in on this element of reform. As a provider, I have really mixed feelings about the potential for cost containment to (further) erode physician autonomy and to (further) reduce physician income. However, no sane person can look at the rate of medical inflation and not see the burning need for cost containment. I just worry that too much of it will fall on our shoulders, since reining in costs any other way is tricky and politically unpopular.