This morning, the US House of Representatives is debating the current version of the healthcare bill. As it stands US healthcare seems to be unsustainable, with increasing costs and decreasing access. According to the 2007 census 45.7 million Americans were without health insurance during that year, with an even more categorized as under insured. In the June issue of the New Yorker, Dr. Atul Gawande described a mismatch between dollars spent on healthcare and the level of care received in his article The Cost Conundrum: What a Texas town can teach us about health care. Furthermore it seems that Americans are already paying a form of public option, in the form of “ER healthcare”. BUT these are not the issues being addressed in this posting; rather the question to be raised is the impact reform is currently having on medical device innovation in the US?