As proud as Massachusetts officials were to have one of the lowest rates of uninsured citizens in the nation with their nearly universal health care system, they are now facing the reality of how costly that bragging right is. Because the initial efforts which began three years ago were followed by rapid enrollment and a now slowing economy, Massachusetts is now facing a very large bill which experts say means that the health care system will not be sustainable in 5 or 10 years if efforts are not made to decrease health care costs and spending. State governors are targeting their efforts on a new way to pay providers which would reward them for preventative care and other measures which reduce health care costs. If this were achieved, Massachusetts would again prove to be a revolutionary in the realm of health insurance. Do you think that they can make the system work, or will they just end up in over their heads?