7.

Improving Quality

Iora Health

In 1902, the fastest ship took more than a month to cross the Atlantic. Suppose you wanted to travel faster. The conventional approach would be to ask the boat builders to study the tides and streamline the hull or build bigger and faster engines. Even after a hundred years of doing that, the fastest ship today takes four days. What we would have needed was an entirely new solution—an airplane. I would postulate that we are in exactly the same situation with US health care. The redesign must be very different than the current model, because you can’t build an airplane by sticking wings on a ship.

—Rushika Fernandopulle, Founder and CEO, Iora Health

Sharon Callahan was fifty-five, and she was sick and tired of ...

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