Comparing the successes, failures, and differences in health economy design in the U.S. and U.K., this book describes the implications and benefits of health delivery system change using Lean methods. It explains the benefits of using the tools of the Toyota Production System. It considers the cultural, political, and social aspects of change in each system, as well as healthcare financing, competition, and integration of information technology. The author includes interviews with senior leaders in healthcare, as well as political leaders in the U.S. and the U.K.