Policy speech by president of U.S. Chamber of Commerce on Nov. 14, 2007. Excerpt: [B]ecause we use an employer-based system, skyrocketing costs have become a burden for our companies as they compete with foreign counterparts whose health care systems operate under different models. Then there is what I call the 'good news problem' with American health care.... The more success we have in achieving breakthroughs, saving lives, and keeping people around longer, the more costs we are creating for our society and the bigger drag we are putting on our competitiveness.