As Democratic and Republican presidential hopefuls advance solutions to reform U.S. health care, CHP/PCOR core faculty member Victor Fuchs offers three "inconvenient truths" that may serve as a starting point to address and inform health care policy. In a recent article published by the Commonwealth Fund, Fuchs asserts (1) that health care expenditures must be reduced; (2) that medical technology and interventions are largely responsible for cost increases; and (3) that universal coverage cannot be attained without subsidization and compulsion.