If you’ve been to the doctor recently, you probably know that America’s health care system, as good as it is, could really stand some improvements. That’s our topic on the Lean to the Left podcast with a top expert in healthcare, Firouz Daneshgari, M.D.

Dr. Daneshgari is a surgeon-scientist, educator and entrepreneur who has worked at the University of Colorado, Cleveland Clinic and Case Western Reserve University. He has published more than 200 scientific articles, led numerous scientific and clinical panels, and trained hundreds of students, residents, fellows and junior faculty.

Dr. Daneshgari, known as "FD", is author of “Health Guardianship, the Remedy to the Sick Care System,” a must read if you want to understand what’s gone wrong with American healthcare and would like to see a solution.

Following implementation of the Affordable Care Act and approval of its mandates by the Supreme Court, Dr. Daneshgari founded Bow Tie Medical to create systematic innovations for bringing efficiency and value into the healthcare delivery system.

"We are the most expensive healthcare system in the world," he says on the show. "We are spending twice, three to 500% more than our European or Japanese counterpart.. The reason we are the most expensive is because the healthcare is delivered through 5,000 hospitals that they have become financial institutions, that they use delivery of the clinical services as a revenue generating activities and with that they generate about 50% of waste."

That waste, he says, includes clinical services and activities that do not lead to beneficial health outcomes, although they generate revenue for the hospitals, explaining that "There are systematic misalignments between the roles of hospitals as the main providers, consumers, you and I and the third party payer."