“How wonderful it is that nobody need wait a single moment before starting to improve the world.” — Anne Frank

“Medicine is a social science and politics is nothing else but medicine on a large scale” — Rudolf Virchow

“…variation is the enemy of quality.” — W. Edwards Deming

On this website, I share some exercises in the obvious; We know what to do to improve public health and control health care costs, but lack the leadership and structure to effect change. Perhaps the information presented will be of assistance in making that case more persuasive.

Speed matters: The most rapid way to bend the cost and quality curves is to identify and remediate outliers who have consistent patterns of poor quality, fraud, waste and abuse.

Sustainable savings can be attained by more intensive efforts to improve access to health care and build an evidence-based public health infrastructure.