As a consequence of the lack of continuity, the ball gets dropped. It creates so much waste, inefficiency and poor communication.

I think physicians generally don't want to say bad things about other physicians. The second thing is we don't have enough objective data about our own health care systems in terms of quality and outcomes to say we're better and show it.

Any time you take your health into the marketplace you're taking a risk, even here in the States.

In the mid- 1990s, we began re-evaluating common practices within the aerospace industry. We became determined to eliminate inefficiency within our machining operations. We developed entirely unique software for monitoring our processes, standardized on high-quality Mori Seiki machinery, and made a concerted effort to maximize productivity through automation.

We played with a lot of energy, played hard, but we made some poor decisions. McDowell's one of the best teams in the conference, and we have to strive to get to that level.

The only thing that saves us from the bureaucracy is its inefficiency.