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The Brain Surgeon's Take

Carlos Migoya: Public Healthcare in the USA

07 Jul 2025

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Carlos A. Migoya has served as CEO of Jackson Health System since May 2011, overseeing one of the nation’s largest and most respected public healthcare networks. Jackson has the distinction of bringing world-class medical care – including the medical school faculty and students from the University of Miami and Florida International University – to a taxpayer-owned system that guarantees a single high standard of care for all residents of Miami-Dade County. The system is anchored by Jackson Memorial Hospital, one of the most respected hospitals in Florida. The system also includes three neighborhood community hospitals, Holtz Children’s Hospital/The Women’s Hospital at Jackson Memorial, Jackson Behavioral Health Hospital, the Christine E. Lynn Rehabilitation Center for The Miami Project to Cure Paralysis at UHealth/Jackson Memorial, two nursing homes and a network of urgent care centers, physician practices, and clinics.In his first year at Jackson, Mr. Migoya led a transformation that reversed years of massive losses, including an $82 million loss in the prior year, and produced a surplus of more than $8 million. It was the first time Jackson produced a surplus since 2006, and the system has earned an annual surplus every year since. At the same time, key indicators of healthcare quality and patient satisfaction improved, proving that public hospital systems need not choose between medical excellence and operational sustainability.

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