In keeping with its long history of successfully opposing health care reform, the American Medical Association (AMA) is, surprise, doing it again. And here's a recent AJN editorial on some nurse-led solutions to improving care and reducing costs that should be part of any reform plan: "nurses can help to build the infrastructure we’ll need if we’re to shift from an emphasis on acute care to one on health promotion, chronic care management, and primary care . . . . "