The winter 2020 edition of the Nonprofit Quarterly is not cheery and bright—but we are optimistic that a deeper understanding of the brokenness of the U.S. healthcare system will come in the wake of COVID-19. The pandemic is laying bare some of the systemic problems in this area, and there are a plethora of them—so many that it is obvious that a piecemeal approach to reform is likely to fail. The system is deeply and chronically infected by corporate incentives and motivations that feed the system’s dysfunction, and nothing less than an ethics-based redesign is likely to have much effect.

We need a whole new set of organizing principles.

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