One of the prime reasons I founded the Public Forum Institute was a strong belief in the role ordinary citizens can play in addressing chronic stalemates on vital national policy issues. After moderating hundreds of congressionally-chaired health policy forums over the years, I conclude it will be other developments outside of top-down reform that drive improvements in health care. It seems inevitable that with so many people’s income dependent on our health care industry, even the most well-meaning politicians face a never-ending path of discourse in their efforts to improve health care without disrupting such a large chunk of the American economy. The revolution in consumer data may be just one of those new game changers.