Paul Kusserow

And what happened was a huge transformation in the 20s of the U.S.

healthcare system.

There were 150 hospitals slash medical schools, 100 of them closed, and what was left turned out to be the best healthcare system in the world.

The interesting thing about that is while we were superior in the 20s, 30s, 40s, 50s, with this methodology, 50 years later, we had already outgrown it in 1970.

Another 50 years, and we really haven't progressed that much.

And the problem is we're using, it's like if we were driving around Model Ts now, and the rest of the world is

driving around all the advances we have.

And there's some forces that are at work now that we believe will append this model once and for all and bring us into a transformative new world.

The macro forces, I think, are going to be the forces that cause the dissemblement or the destruction or the change, however you want.

I mean, you know, the one thing we do talk about is change is very constant in the business world and certainly in the health care world.

Yet our system has resisted change for about 100 years.

And the forces that are driving it are really irrefutable at this point.

The combination of these forces, we believe, are exponential.

So you have demographics.

You have now, for the first time in 2030, the old will actually outnumber the young, the fastest growing demographics in the country.

Now we're 85 plus.

The second fastest are 75 to 85.

The third fastest are 65 to 75.

So we are becoming much older, as is the world.

And that has really focused everything on health care.