At left a picture of Dr. Don Berwick giving his Don's Left knee speech at the IHI conference Spring of 2003 in New Orleans. Delivered with Don's usual evangelistic style that brought tears to the eyes of the Docs present (present as was I, but without tears and just startled scientists falling for this sort of thing from salesman Don).
Below the chart of Obama Care the Administration entrusting to this fellow from Harvard who's never managed more than five or six direct FTE at IHI maybe?
Oh we're in for a fine mess here. Except no fat contracts for giving speeches that Don cleaned up with from UK's Nat Health System. No wonder he sung NHS's praises... what vendor doesn't praise its prime contract.