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Readings in Innovation by David A. Hills, Stanley S. Gryskiewicz

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Leading a Revolution in American Health Care

Erie Chapman

Violent revolutions are rarely, if ever, led by people in power. The least likely person to lead a revolution in the American colonies was King George III. King Louis XVI was an improbable candidate to lead an overthrow of the French government.

But other kinds of revolutions can and should be provoked by the established leadership—the leader with a conscience who wants to begin the change at the top and who recognizes the following basic elements which are present in any revolution: (1) a present and pervasive injustice; (2) a large number of people who are aware of the injustice but feel powerless to accomplish change; and (3) a leader, or leaders, who must, at the minimum, understand ...

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