The one given across all sectors of healthcare today is that change is coming, and not the gradual kind. This is multi-billion-dollar, build-up while tearing down kind of change. If that change is to lead to dramatic improvements in the effective and efficient care of patients, our systems must be redesigned, not re-engineered. Here's why: It's a matter of life and death. On Sept. 25, 2014, Eric Duncan reported to the emergency department of the Texas Health Presbyterian Hospital Dallas with a low-grade fever, abdominal pain, dizziness, and headaches.