1. Are Governance Issues Transforming American Healthcare? Mark C. Suchman Sociology and Law University of Wisconsin

2. Plot-lines for the Transformation of Health Care Humans against Nature – The Tragedy of Colossus Medicus Humans against Humans – The Rise of Governance: legal doctrines, professional ethics, organizational rules, community norms, etc.

3. The Best Healthcare in the World?

4. Technological Promise Clinical IT could remedy… –Geographic inequity –Medical errors –Fragmented case management –Et cetera, et cetera. E.g.: CPOE could save 3,000 lives and $1 billion annually. But cornerstone technologies are rarely adopted

5. Governance Challenges System Integration –Economics of standardization System Integrity –Sociology of trust System Control –Politics of accountability

6. A Final Word Humans Against Selves/Gods?