Elizabeth Bradley is faculty director for the Global Health Initiative and the Global Health Leadership Institute, both of which are at Yale. She is also a professor of public health at Yale’s School of Public Health. Her research focuses on health delivery systems and quality improvement and has contributed important findings about organizational change and quality of care within the hospital, nursing home, and hospice settings. She has been involved with several projects that aim to strengthen health systems in international settings, including China, Ethiopia, Liberia, South Africa and the United Kingdom. We talk with Professor Bradley about the new book she wrote with Lauren Taylor titled, The American Health Care Paradox: Why Spending More is Getting Us Less.