evidence: The bad news is that the US healthcare system is broken and dysfunctional. We spend twice as much per capita as almost any other country, nearly $13,000 per year, while 85 million Americans remain uninsured or underinsured. In addition, our health outcomes are often worse. In terms of life expectancy, for example, we live far shorter lives than the people of many other industrialized nations. [...] For many years members of Congress have talked about these crises. Now is the time to act. As chairman of the US Senate health, education, labor and pensions (Help) committee I am working hard to pass bipartisan legislation which will transform our primary healthcare system so that every American, no matter where they live or what their income might be, can get the care they need when they need it. If we increased funding for primary care by $130bn over five years, through a combination of increased federal funding and the elimination of some of the enormous waste and bureaucracy in the current healthcare system, we could double the number of people using community health centers and come close to providing primary healthcare to every person in America.