Forbes January 5, 2026
Over the years, I’ve written often about leadership—not as an abstraction, but as a lived experience shaped by medicine, public service, and running complex healthcare organizations. What continues to strike me is how often our industry confuses motion with progress, polish with substance, and consensus with courage.
Healthcare today does not suffer from a lack of intelligence or good intentions. It suffers from a deficit of resolve. As we head into another year of uncertainty, pressure, and change, I find myself returning to a set of leadership resolutions—grounded not in theory, but in patterns I’ve seen repeatedly across government, health systems, and payer organizations.
These are not easy resolutions. They are not especially fashionable. But they are necessary.
1. Say...
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