Gettin' right to the point

Wasting no time, here's Jeffrey Flier in his opening sentences:

As the dean of Harvard Medical School I am frequently asked to comment on the health-care reform debate. I'd give it a failing grade.

Just like the Massachusetts plan, Dr. Flier writes that the health care bill moving through Congress will "markedly accelerate health-care spending rather than restrain it." I think that's a given at this juncture.