Billions are wasted on ineffective philanthropy. Philanthropy is decades behind business in applying rigorous thinking to the use of money.

You can't be all things to all people.

Strategic thinking rarely occurs spontaneously

Efforts to preserve all industries will lower the national standard of living.

Ultimately, health care fails the most basic test. It's not organized around the needs of the patient.

Operational effectiveness and strategy are both essential to superior performance.

Health care historically has been a very siloed field that's organized around medical specialties - urology, cardiac surgery, and so forth - and around the supply of these specialty services. The patient is the ping-pong ball that moves from service to service.