Dr. Ezekiel Emanuel

Our quality is uneven and we can't guarantee everyone good quality.

We have disparities, whether it's urban, rural or racial or based on sex.

And we're all dissatisfied with the system.

I don't know anyone these days who isn't bitching and moaning about the American healthcare system.

So the question is,

You know, in business, if you have something that's failing so bad, right, you have creative destruction, they say.

You know, you just...

Kodak doesn't exist anymore.

You know, eventually the internal combustion engine will not exist.

It's harder in hospitals.

You can't just get rid of hospitals.

You can't just not have, you know, not having a particular school or a particular facility isn't going to solve the bigger structural problem.

So part of what I've been trying to do in this book is how can we creatively rejuvenate

Not just people, but the social institutions like the health care system that we have.

and redesign them so that the sort of the creakiness that has encumbered them over the last 75 years, we can overcome the problems that that creates.

And that's really what the book is thinking about.

I have some ideas and I have some ideas of, you know, if we had a better, if we could design a better system, how could we get it implemented better?

in the current political environment where there seems to be a lot of polarization.

I think healthcare may be one of those places where it's bipartisan.

Everyone thinks the system's broken.