This is fun because even though it's educational it is still totally on brand for BDG because the US health insurance system is simultaneously horrifying, baffling, and comedic.

Key takeaways how to ensure things go right: - Diversity of opinion and the possibility to voice dissent - Keeping a discussion on risk alive - Deference to expertise - Ability to say stop - Broken down barriers between hierarchies and departments - Don’t wait for audits or inspections to improve - Pride of workmanship Keywords: safety, Hollnagel, Zero Harm, cynicism, accountability, Short-termism