Jan Malcolm, Minnesota’s Commissioner of Health, is one of the most distinguished health policy leaders in the nation. She has led public policy for Allina Health, managed the Courage Kenny Rehabilitation Institute, and served as co-director of the Robert Wood Johnson Foundation’s Interdisciplinary Research Leaders program. She first served as Commissioner of Health from 1999 to 2003. For her, the current state of health care in America comes “at an unacceptable human cost. It’s time to talk about fundamental issues,” she says, “not just tinker around the margins of health care.”