Paul Kusserow

Appreciate your having me.

Well, I wrote a book before this called The Anatomy of a Turnaround, and it was about turning around a medicine.

It's the company that I ran for 10 years.

Dave was my editor then, and he's a healthcare economist.

And we started to look through some of the ideas that were coming out of there, and then we...

started to talk about where we were in the journey of healthcare in the United States.

And we believe that there was something that was going to occur pretty quickly.

We spent about six months doing pretty extensive research, and the book started to form quite naturally.

So we put it all together, and the thesis came very naturally, which is healthcare is going to change more in the next 10 years than it has in the last 100.

What came out of the research that was most interesting was we actually went back 100 years, over 100 years, and looked at how we got to where we are now.

You know, those that don't learn from history are doomed to repeat it.

And so we looked at something called the Flexner Report, which was basically the start of modern healthcare in the United States, which came out in 1910.

by a guy named Abraham Flexner.

He was doing a project for the Carnegie Foundation, and he was looking at medical schools and hospitals in the United States.

And what he saw really appalled him.

And he came out with this report suggesting how to reform the U.S.

health care system.

It basically looked at medical schools and hospitals and started to figure out, you know, what we know today, which is how do we build hospitals around academic centers?

How do we train physicians in the appropriate way so they can drive great care?

that's research-based.