In the United States, healthcare consumes 17.5% of the gross domestic product. By comparison, residential and commercial construction combined makes up only 7.5%. From the pharmaceutical industry to insurance companies to hospitals to medical device manufacturers, it is a massive—and massively profitable—business. The health care industry is booming, and Americans are sicker than ever. The thing that most people don't understand is that industry is focused more on the bottom line than on patient care. It’s not that the people who work in these industries are evil. It’s that the companies involved have become very good at making decisions in service of a goal. And they have the wrong goals.