Cleveland Clinic's CEO, Delos "Toby" Cosgrove, whose own research has produced more than 30 patents, recently sat down with McKinsey's Brendan Buescher and Paul Mango to discuss healthcare in the United States, the importance of innovation as the industry globalizes, and the delicate balance among competing interests in the field. Cosgrove is not your usual executive; he spent 30 years at the clinic as a cardiac surgeon before being promoted to CEO, in 2004. Since then, he has immersed himself in the details of his new role, seeking to improve not just the clinic and the health of its patients but also their hospital experience and the future of the healthcare industry overall.