Imagine being given more resources than you could reasonably expect, a long-term time horizon, access to more than a million employees, and a mandate to rethink healthcare.
Would you take the job?
In this reflection on Part 1 of the Haven Healthcare series, Bruce Spurlock goes back to 2018 and deliberately removes what we know today. Amazon, Berkshire Hathaway, and JPMorgan Chase had come together around an enormous ambition: find a better way to deliver and pay for healthcare.
Atul Gawande was brought in to lead the effort, giving Haven an accomplished physician, writer, and healthcare thinker who had spent years examining how healthcare systems work and why they fail.
From where the leaders stood at the time, the opportunity was extraordinary.
But once you accept the opportunity, a much harder question appears: Where do you start?
Do you redesign the entire system? Focus on one population? Choose one healthcare problem? Start small and learn? Or use the unusual scale and resources you've been given to attempt something much bigger?
Bruce reflects on the decisions facing Haven's leaders without using the benefit of hindsight and sets up Part 2 of the series, where the story moves from ambition to implementation.
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