Just like I’m wildly impressed that Dr. Runge somehow manages to be the executive vice president for Medical Affairs at the University of Michigan, dean of the Medical School, **and** CEO of Michigan Medicine, I’m very impressed with this book.

Appreciated the wide yet focused snapshot of where healthcare is right now and where it is likely going next. While I was familiar with many of these topics, I felt I still learned something in each chapter. Some are lighter than others, reflecting a comparative lack of definitive knowledge in that given area.

As a medical student, I suspect that if we raise PCPs to the level of gatekeeper that this book recommends we would have to dramatically cut down on patient census numbers - PCPs I rotated with were absolutely inundated on EMRs with tasks they can’t directly bill for. The idea of PCPs being aware of all care a patient seeks is an interesting one - but I question the legal liability and mental workload this places on an already overloaded medical segment.

I also very much appreciate the fact that it feels like there is little to no filler content in this book. Every fact and figure is meaningful.

Excited to read his medical thriller next!

Thank you to NetGalley and Forbes Books for the advanced reader copy.

Notable Quotes: “Ultimately healthcare spending isn’t merely a cost; it’s an investment. Understanding these nuanced truths requires patience, context, and willingness to look beyond simplistic headlines. When we focus only on price tags, we lose sight of what federal investments in healthcare have achieved: industries sparked by public research funding, biotech revolutions, and countless lives improved by prevention and innovation.”

“Most of all, we’ll identify and assess what’s next for healthcare—an industry that’s undergoing significant, deeply transformative disruption and yet, at its core, remains centered around the care that one human being provides to another.”