What happens when you put one of America's leading healthcare governance experts in conversation with a veteran industry insider? You get a rare, unfiltered look behind the curtain of hospital boardrooms where life-and-death decisions get made every day.

Jamie Orlikoff, renowned governance consultant and active health system board member, joins host Nathan Kaufman to reveal the dramatic transformation of healthcare governance from ceremonial volunteer boards to professionalized leadership structures. With startling candor, Orlikoff explains that what once made hospital boards work—community connections and social relationships—now often prevents them from making necessary but difficult decisions.