Day 2 of Value Based Health care. Today was a particularly enlightening day as it focused on a big success story in primary care and another in employer based health care. I also had some foreknowledge of the organizations which helped enrich the cases for me. One thing that I did notice is that we as health professionals might have a tendency to hold the delivery of health care to the same standards as our actual therapies. While high standards in and of themselves are a good thing to have, working with humans in a complex social, medical, business, regulatory and legal environment is tricky to do and even trickier to study. It is important to remember the current state of health care delivery innovation.