If all you're trying to do is essentially the same thing as your rivals, then it's unlikely that you'll be very successful.

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.

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

Strategic thinking rarely occurs spontaneously

The essence of strategy is that you must set limits on what you're trying to accomplish.

If your goal is anything but profitability - if it's to be big, or to grow fast, or to become a technology leader - you'll hit problems.

The essence of strategy is choosing what not to do.