Americans have the best doctors, the best hospitals, the most innovative medical technology, and the best scientists in the world. Our challenge and opportunity is to build around them the best health care system. Republicans believe the key to real reform is to give control of the health care system to patients and their health care providers, not bureaucrats in government or business. There are reasons why American families and businesses are dissatisfied with the current state of health care: Most Americans work longer and harder to pay for health care.