A show about how big systems actually change.
After more than a hundred episodes of Turn on the Lights, Don Berwick and Kedar Mate reached a conclusion they could no longer ignore: the problems they kept diagnosing will not be fixed by better diagnosis. They demand fundamental change—in how healthcare is paid for, organized, measured, and trusted.
This new series is not about what’s broken. It’s about how broken systems actually get remade—and why so many honest attempts fail. Through rigorous conversation with leaders, reformers, skeptics, and practitioners, Berwick and Mate examine the real mechanics of large-scale change: why systems resist, how they eventually shift, what we choose to transform, and what we leave untouched.
This is a show for anyone who has grown tired of diagnosing the same failures and is ready to understand how lasting change actually happens.
This show is brought to you by ABIM Foundation (please add tag line if any)