I have an idea how to measure value in health care delivery. The metrics used are critical, and not just because what gets measured gets managed. American health care is a big display of game theory. I'm not easily impressed, and I am frequently by the cognitive prowess among some to game the system for as much profit as possible at the expense of patients and taxpayers. So, the right metrics have to be unimpeachable; immune to those with every intention of twisting them against their spirit.