Gawande participated in a panel discussion with some Scripps leaders, and as the questions started to run their course, he brought up the topic of healthcare reform, and the fate of the Affordable Care Act legislation, now awaiting another year's worth of debate before the Supreme Court decides to weigh in. Or not.
"We go outside now to a deluge of negativity. And I find it depressing, this national debate on FoxNews or MSNBC. The reform bill is a disaster or the alternatives are a disaster. And it can feel like there's no way forward.
What we will brace ourselves for is a year of fighting over whether we will repeal or defend, and neither of which I where I want to be, or where you want to be.
"Where we want to be is we want to improve, because whatever comes out of Washington will be imperfect.... And none of that debate is by people who are making care for people better day in and day out.
"We need one community, just one, that will lower costs and make care in their system better. And the rest will follow. Washington and Sacramento won't be those communities, but this one could be," Gawande said.