I've posted this before, and about this topic several times before, and may well again: I believe it's the No. 1 issue facing all Americans, and I believe it will only be solved when we demand that it be solved. Yes, that's somewhat unlikely in present-day America, but it's going to happen, because it has to.
I'd meant to mention this point regularly, but was inspired to act this morning while on the jogging track, listening to one of my heros, Cory Doctorow. His money quote was, "it only works if you get involved."