Back in 2009, President Obama spoke to the American Medical Association and said, “We need to bundle payments so you aren’t paid for every single treatment you offer a patient with a chronic condition like diabetes, but instead paid well for how you treat the overall disease.” That’s a great idea, and it could really improve health care. Unfortunately, the president’s signature reform did nothing to move in that direction. Now, as before, almost no one in the health care fields is actually paid to keep people healthy.