Join us on Full Circle for a sharp, systems-level conversation with John — army veteran, healthcare strategist, and former Merritt Hawkins executive who stumbled into physician recruiting through a struggling military division and never looked back. John sees healthcare the way artillery officers see terrain: where strategy gets won and lost, and where complexity hides the real levers. In this episode, he explains why value-based care has finally crossed the innovation diffusion threshold but costs remain high because the system is still running on a fee-for-service chassis, how the ACA's medical loss ratio cap accidentally enabled administrative bloat, and why commercial payers have little incentive to invest in long-term cost reduction when a member today is someone else's problem in three years. This is one of the clearest diagnoses of why hea ...