Healthcare Crisis 2025

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Healthcare Crisis 2025: A Clinical Perspective offers a clear-eyed, expert examination of the American healthcare system-its failures, its complexities, and its urgent need for reform. Drawing from five decades of hands-on clinical and executive leadership experience across 13 states, J. Smith combines history, industry insight, and real-world case studies to reveal why America's healthcare system is broken and what can be done to fix it.

This book is a vital roadmap for healthcare executives, policymakers, and medical professionals seeking to drive high-reliability organizations, improve patient outcomes, and create sustainable change. With chapters grounded in the Clinton-era Health Security Act and the current state of U.S. healthcare policy, Smith tackles leadership challenges, data overload, cost inefficiencies, and cultural divides in clinical care.

Whether you're a hospital leader, legislator, physician, or informed citizen, you'll gain new clarity on:

How policy, cost, and care delivery intersect Why healthcare innovation struggles to scale What leadership tools-like the Baldrige framework and Good to Great-can do to move the system forward How decentralization, cultural shifts, and local action hold the key to real transformation

The time for reform is now-and this book shows where to begin.