Though millions of words have been written about the health care reform that may or may not become law in 2010, very few actually address the health of the American citizenry. Apparently it's assumed that expanding health care insurance is the same thing as improving the health of the American people. Not true. As I hope to make clear, "improving health" is not the same as "providing health care insurance." While health care insurance certainly improves access to treatment, it doesn't necessarily improve the overall health of the American people.