--- title: Part Two | What’s Broken in American Healthcare—and How to Fix It with Dr. Don Berwick description: Nationally respected healthcare leader and former CMS Administrator Dr. Don Berwick joins host Chris Comeaux to examine why healthcare costs continue to soar while patient outcomes lag behind many other developed nations—and what it will take to reverse course. --- [Anatomy of Leadership ](https://www.teleioscn.org/anatomy-of-leadership) # [Part Two | What’s Broken in American Healthcare—and How to Fix It with Dr. Don Berwick](https://www.teleioscn.org/anatomy-of-leadership/part-two-whats-broken-in-american-healthcare-and-how-to-fix-it-with-dr.-don-berwick) Written by [Chris Comeaux](https://www.teleioscn.org/anatomy-of-leadership/author/chris-comeaux) | Jul 10, 2026 12:37:20 PM **What if the greatest problem in American healthcare isn’t a lack of innovation—but a system that rewards complexity, profits, and bureaucracy over people?**       In Part Two of this powerful conversation, nationally respected healthcare leader and former CMS Administrator **Dr. Don Berwick** joins host **Chris Comeaux** to examine why healthcare costs continue to soar while patient outcomes lag behind many other developed nations—and what it will take to reverse course.   The discussion explores the evolution of Medicare Advantage, the financial incentives that have reshaped healthcare delivery, and the staggering administrative waste consuming billions of healthcare dollars each year.  Dr. Berwick explains how payment models, policy decisions, employer-sponsored insurance, and political forces have contributed to today’s healthcare challenges, while offering thoughtful, evidence-based ideas for building a system that delivers better care at a lower cost.   The conversation concludes with a hopeful vision for the future.  Dr. Berwick argues that hospice and palliative care represent more than compassionate end-of-life care—they offer a blueprint for person-centered healthcare across every stage of life.  His closing challenge to healthcare leaders is both timely and timeless: lead with courage, speak with conviction, and never lose sight of the moral purpose that brought you into healthcare.   ## **Key Takeaways** - **Why Medicare Advantage drifted from its original mission** and how financial incentives have transformed a model originally designed to improve quality while reducing costs. - **The hidden cost of healthcare bureaucracy**, with administrative complexity consuming hundreds of billions of dollars that could otherwise be invested in patient care. - **Why employers may become the catalyst for healthcare reform** as rising healthcare costs increasingly threaten business competitiveness and workforce sustainability. - **How hospice and palliative care demonstrate a better model of healthcare** by focusing on what matters most to patients and families while improving quality and reducing unnecessary utilization. - **Dr. Berwick’s powerful leadership challenge:** In times of uncertainty, healthcare leaders must speak up for compassion, dignity, and the patients they serve. [Show Transcript](https://www.teleioscn.org/hubfs/Teleios%20Collaborative%20Network/Documents/Part%20Two%20%7C%20What%E2%80%99s%20Broken%20in%20American%20Healthcare%E2%80%94and%20How%20to%20Fix%20It.pdf)       Special Guest: ## Dr. Don Berwick Former Administrator of CMS [Biography](https://www.teleioscn.org/hubfs/Teleios%20Collaborative%20Network/Documents/BERWICK%20BIOGRAPHICAL%20SKETCH%20032326.pdf)     Host ## Chris Comeaux MLAS, CPA President / CEO of Teleios [Request More Information](mailto:ccomeaux@teleioscn.org) Order Book On Amazon** ** [The Anatomy Of Leadership](https://www.amazon.com/Anatomy-Leadership-What-Do-Leaders/dp/B0CP1H4Q9Z/ref=sr_1_1?crid=13TCTTE4MERHU&dib=eyJ2IjoiMSJ9.k8JMNI42KjHquGeyhSi2yVsqgt34wii5hGbTnBxh7y_GjHj071QN20LucGBJIEps.lb1wV3NFqwfao2camDL9e5NU93vuV9f3YVbZrNXuARs&dib_tag=se&keywords=the+anatomy+of+leadership+by+chris+comeaux&qid=1723572559&sprefix=The+Anatomy+Of+Leadership%2Caps%2C85&sr=8-1)           **Brain Bookmarks**         **** ** **            **TCNtalks / Anatomy of Leadership Sponsor **         [www.usi.com](http://www.usi.com)     [View full post](https://www.teleioscn.org/anatomy-of-leadership/part-two-whats-broken-in-american-healthcare-and-how-to-fix-it-with-dr.-don-berwick) ```json { "@context" : "http://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Chris Comeaux" }, "dateModified" : "2026-07-10T12:37:20.188Z", "datePublished" : "2026-07-10T12:37:20Z", "headline" : "Part Two | What’s Broken in American Healthcare—and How to Fix It with Dr. Don Berwick", "image" : { "@type" : "ImageObject", "height" : 1700, "url" : "https://4731444.fs1.hubspotusercontent-na1.net/hubfs/4731444/Part%20Two%20-%20Whats%20Broken%20in%20American%20Healthcare%20%20podcast%20-%20Blog%20thumbnail.jpeg", "width" : 2550 }, "mainEntityOfPage" : "https://www.teleioscn.org/anatomy-of-leadership/part-two-whats-broken-in-american-healthcare-and-how-to-fix-it-with-dr.-don-berwick", "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "height" : 60, "url" : "/hs/hsstatic/content_shared_assets/static-1.4092/img/default-amp-logo.png", "width" : 60 }, "name" : "Anatomy of Leadership" } } ```