Health care in America is changing. There’s no doubt about it. New leadership at the Department of Health and Human Services, the Food and Drug Administration and other public health agencies is rewriting, and in some cases upending, what the public health establishment has stood for for decades.

Not all these changes are unwelcome. The reality is Americans today live unhealthier lives than in generations past. Our food supply contains harmful chemicals and dyes. Chronic disease is on the rise. Images of Americans from decades ago stand in sharp contrast to today’s reality.

Reform is necessary.

But amid the debates about diets, insurance markets and public health regulations, Congress risks losing sight of its own responsibility to set clear policy to improve health outcomes, particular

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