About Market vs. Medicine

U.S. healthcare is too expensive, asset-heavy and tolerant of excessive performance variation. It is over-invested in acute/specialty care and under-invested in prevention, primary care, behavioral health and chronic disease management. It makes too many mistakes and refuses to learn from them. Our long-term quality of life, standard of living and social mobility depend on converting America’s “sickcare” system into a true healthcare system.

Strong incumbents dominate an expensive and fragmented system that is financially unsustainable, delivers mediocre health outcomes and fails to address the root causes of America’s chronic disease epidemic. This medical empire is fighting to maintain the status quo and its vested interests. Its day of reckoning has come. New competitors and business models are emerging to challenge entrenched, inefficient and ineffective business practices. They’re relentless. They fight to win customers every day by delivering better, more convenient and more affordable healthcare services.

Market vs. Medicine goes beyond diagnosis to consider how sustained and disruptive innovation will make U.S. healthcare better at diagnosing and treating illness while developing care management capabilities that promote prevention, behavioral health and chronic disease management. In the epic battle underway, market-driven reform, more than regulatory change, will transform and improve America’s broken healthcare system. The marketplace will differentiate winners and losers. Value rules.


Meet the Author of Market vs. Medicine

David Johnson
4sight Health, CEO

About the Author

Dave is the CEO and founder of 4sight Health, a healthcare boutique specializing in thought capital, strategic advisory services and venture investing/capital raising. 4sight Health operates at the intersection of healthcare economics, strategy and capital formation. The company’s 4-stage analytic (Assess. Align. Adapt. Advance.) reflects the bottom-up, evolutionary character of market-driven reform.

Mr. Johnson is the author-in-residence at the Health Management Academy and writes regular commentaries for Modern Healthcare’s digital edition. He is an investor and board member for three early-stage healthcare companies, Bienestar, Curate Health and HealthIPass.

During his 28-year investment-banking career, Mr. Johnson managed over $30 billion in healthcare revenue bonds and led significant strategic advisory engagements for his health system clients. Dave specializes in capital formation, asset-liability management, enterprise risk analytics and new business-model development. His expertise encompasses health policy, academic medicine, economics, statistics, behavioral finance, disruptive innovation, organizational change and complexity theory.

Mr. Johnson holds a Bachelors of Arts degree in English Literature from Colgate University and a Master’s degree in Public Policy from Harvard University. Dave was a Peace Corps Volunteer in Liberia, West Africa and a United States Presidential Management Intern. His civic and professional affiliations have included Harvard Medical School (Visiting Committee); the Chicago Council on Global Affairs (Board, Executive and Finance Committees); the University of Chicago (Harris School of Public Policy’s Visiting Committee and Student Engagement Sub-Committee Chair); the Health Management Academy; Harvard School of Public Health (occasional lecturer); CHRISTUS Health (Audit Committee); the British-American Project (U.S. Chair); and Terence Cardinal Cooke Health Center (Finance Committee Chair).

Dave enjoys reading, travelling and has run ten marathons.



What people are saying about Market vs Medicine

“Dave Johnson is like a master pathologist looking through a microscope. He identifies one of the key drivers of inefficiency in US healthcare— a healthcare system, revolving around hospitals, that has exploited the generosity of public payments to become bloated and inefficient; large hospitals are cost-centers in search of revenue streams. This sophisticated diagnosis motivates a range of solutions that emphasize competition and payment reform to disrupt the status-quo. In the process we may be able to save money and save lives. ”

— Amitabh Chandra, Malcolm Wiener Professor, Harvard University

“Dave Johnson is a student of American healthcare. He not only has insatiable curiosity, but also has deep and broad connections to those who are actually engaged in transforming healthcare. He brings a practical reality to a discussion that often times can become academic or impractical. He outlines a compelling diagnosis for the problems bedeviling American healthcare and then highlights several high leverage areas that can be transformative to those problems. There are many things that are uncertain regarding the future of American healthcare, his premise that value will drive transformation is not one of those uncertainties.”

— John Koster, M.D., Former CEO, Providence Health & Services