What Donald Berwick Learned as Medicare's Top Bureaucrat: Government is "Complex"

Last week, after just 18 months on the job, Dr. Donald Berwick left his recess-appointed post as the head of the Centers for Medicare and Medicaid Services (CMS). What did he learn on the job? Via The New York Times, the good doctor offers the following insight on the federal government:

Dr. Berwick sounded like a professor of political science or a visitor from a foreign country when he recounted his efforts to fathom Washington's ways.

"Government is more complex than I had realized," he said in an understatement. "Government decisions result from the interactions of many internal stakeholders — different agencies and parts of government that, in many cases, have their own world views."

Read my case for and against Berwick here.