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.

Strategy is choice. Strategy means saying no to certain kinds of things.

The underlying principles of strategy are enduring, regardless of technology or the pace of change.

Sound strategy starts with having the right goal

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.

Strategy is about making choices, trade-offs; it's about deliberately choosing to be different.

Competitiveness is defined as the ability of companies to compete while maintaining or improving the average standard of living. If you are cutting wages to become more competitive, that's not really more competitive. It's raising the skill and the efficiency of those workers so that they can support and sustain that higher wage.