We have the most expensive health care, covering the fewest people, with the worst outcomes in the entire industrialized world. That is the crisis we face. Any reform that doesn't address each of the three aspects is just putting a band aid on an infected and worsening wound (ha!)
One of the best things I've seen recently explaining why we're in this crisis is a documentary called 'Profit-Driven Medicine', on Bill Moyers website. You can see it here (in two parts).