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  Question: What would you change about the healthcare system?
  "Things I would change? I would get directly to patients much sooner. The voice of the patient--not the money exchange, but the eloquence of the patient to speak up about what they need and want--is so powerful. We haven't invited patients to speak up enough. I'd build an IHI that was a megaphone for the patients. It's storytelling; it's hearing that this patient was in my hospital and this is what they went through. We need to create a space for patients to talk about things like that. Because, sooner or later, it's going to be me or my child." Don Berwick, MD.

Don Berwick, MD (dberwick@ihi.org) is president and chief executive officer of the Institute for Healthcare Improvement (IHI) in Boston, Massachusetts.