This phrase has so many useful applications in the health care system that I would not even try to do anything more than nick the surface..safe within my little noticed position in hyperspace.  

Less talk, more action.... everyday I sit and spend time with 50 or so patients who present to my office for a multitude of complaints.  Many complaints are tied to litigation so it is not unusual for the patient to explain not only that they slipped and fell.... but that they did so on a 2 " piece of wood, left behind by the garbage truck, which drove away and yada yada yada...and the list of injury stops simply because they ran out of room on my intake form.    A history is important... very important, but at some point I must examine you as well.  If we spend time talking about aspects of an incident that has no bearing on anything outside a courtroom, we are both wasting our efforts.  

Less talk more action.... I have served on many committees within the institution i work at and left each one wondering why I bothered.  The majority of docs admit that they attend a meeting to be sure they do not loose anything.  For the most part,  most meeting are useless.  

Less talk, more action.  When tasked years ago with coming up with some suggestions as to how we could manage our institutions supply chain and OR patient mgmt more effectively I was excited and sat down to formulate a plan.  At the next meeting I had to sit there and listen to an administrator tell me that they elected to pay a consulting company 20 million dollars to bring in 10 potentially competent people who ended up  coming up with the same suggestions I had come up with for a few hours of my time.   After all that.... nothing was implemented. 

Less talk more action.  Docs in NY are under the gun .   We pay exorbitant malpractice premiums and will soon need to pay a 50,000 dollar surcharge for the honor of treating patients in NY.    We sit in our office and bitch about it but nothing else happens.  I bring out the forms we need to complete to drop Medicare and stick it to Pete Stark, and no one else in my group will sign them.  

Less talk more action.  Medicine is in a state of chaos.  Americans, as a whole,  pay an exorbitant sum of money for relatively mid level care.  Mistakes are common, the 4% which drive up my malpractice premiums continue to practice .  Docs are forced to see more patients (potentially make more mistakes) to maintain their income and lifestyle.  Come with me to a a local meeting of docs... they  will all complain incessantly about how miserable they are.... ask them what they would change and what they feel they would be willing to do to change it and they fall silent.  They wont even donate $100 to a PAC. 

Less talk more action.  The quality of care offered to the patients we treat could be measurably improved with certain changes to our system.  Better compensation for better care, improved access,  electronic access, better control mechanisms, improved transparency, return to a vertically integrated model to reward good behaviors and sit down with the payors and the people with the ability to fund these issues and you would soon see  significant improvements in the quality of our lives and those of our patients.  We will be paid to manage and prevent disease, we will not need to practice defensive medicine, we will not operate on people needlessly without evidence based proof that they have a substantial chance of improvement and ....hopefully...in the end, we will be far more happier in our chosen field.  

Way too much talk.... Hilary wants us to throw more good money after all the wasted "bad" money lost in the silly, sick, inefficient, wasteful health care system we have.  Action.... forget about Hillary's plan... it will throw...actually force you to throw more of you well earned money towards the behemoths of  the insane industry that currently exists today... NIGHTMARE.   

But it will all take much more action than the involved parties have committed to so far.  Where's the common thread?  Is there a common thread?