© 2021 Institute for Healthcare Improvement.


Health care has taken center stage in the last few months in the United States. From debates on Capitol Hill, to town hall meetings, to non-stop media coverage, topics like insurance coverage, Medicaid expansion, and payment reform have been on everyone’s minds.

No matter your view, we believe a common understanding of the issues is critical.

It is in that spirit that we share this video from Dr. Don Berwick. Berwick, President Emeritus and a Senior Fellow at IHI, explains the changing health care landscape in terms that are both simple and comprehensive. What’s the future of the Affordable Care Act? If it’s “repealed and replaced” by the American Health Care Act, what will change? What's the difference between the two?

Berwick originally gave a version of this lecture at a Leadership Alliance Meeting in May of 2017. Reactions from Alliance members encouraged us to share it more widely. We — and Don — hope you find it helpful: