A recent New Yorker article by Atul Gawande skillfully draws an analogy between today’s health care crisis and the food crisis our country faced a century ago. Whereas the heath care system currently consumes about 17% of the U.S. economy, Americans spent more than 40% of their income on food at the turn of the last century. Like our current health care system, there existed a huge chasm between what science suggested could be achieved in improved quality and productivity and how farmers dispersed throughout the country were actually practicing.