Something’s gotta give. Something is going to. Business Change isn’t just an idea; it’s become an imperative.

In a world where the health care we provide for people isn’t even good enough for animals, where famous columnists like Nicholas Kristof and economists like Paul Krugman—very different guys with diverse right and left leanings— are stating the same thing, it’s time.

Politically speaking, it’s a hot potato. The number of people you cross by passing health care reform is huge and the number you cross by not doing so is equally high. And not being from California and looking at our left-coast liberal contingency in exactly the stereotypical way that we East Coasters usually do I see the nearly-forty-percent-jump in that group’s health insurance premiums and . . . shrug. But if President Obama fails to get a meaningful health care reform bill passed, and soon, very bad things are going to happen.

Doctors can’t afford to be doctors any more. Remember when you wished you had listened to mom and become one? I do. And I also remember being at a party with a very successful cardiologist over twenty years ago and him complaining that the best and brightest weren’t going to medical school any more. Things haven’t improved.

Be smarter than the US Congress. When things change in your business, have the nerve to do something about it. Watch for Business Change every day, and be fearless about enacting it.

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