The Honorable Kathleen G. Sebelius, Secretary of the U.S. Department of Health and Human Services, gave this keynote address, "A Vision for the U.S. Health Care System: the Challenges and Opportunities" on November 4, at the 2009 Commmonwealth Fund International Health Policy and Practice Symposium in Washington, D.C.
![Elderly woman with walker is helped by a in-home nurse.](/sites/default/files/styles/related_content_270x180/public/Sutton_dual-eligibles-chartpack_1235483346_3x2.png?h=4362216e&itok=qaSbGjZ4)