Despite vigorous lobbying by advocacy groups at the federal and state levels, policies, and practices that are structurally very similar to those being opposed currently by university presidents--health care scorecards, value-based payments, and risk-sharing (i.e., "skin in the game" initiatives) are now very much realities in health care. It is not only already too late, but wholly counterproductive, to continue to resist, argue, or complain about the inevitable changes coming to many aspects of higher education, especially since many are sorely needed. It would be far better for higher education leaders to look to what has already taken place in health care for potential solutions. These solutions indicate how policy makers in Washington are likely to address the public's growing dissatisfaction with rising student debt, and with the cost, quality, and value of a college degree. Changes legislated for health care suggest policy options and solutions that could be applied successfully, either directly or with some modifications, in higher education.