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Our current health care system needs to be radically transformed to met the needs of our nation. There are many models of innovation which can help us overcome our current challenges. The large integrated delivery networks have demonstrated that a monolithic model ("The Cathedral") can produce very efficient, low cost, and high quality. However, 90% of healthcare is delivered by small, autonomous group practices (The Bazaar). New tools and technologies are emerging to bring these two worlds together (The Bazedral) in innovative, and occasionally inspiring, ways.