dr. isenberg was the chair of the department of internal medicine, georgetown's chief physician.e was also on the national stage as chair of the physician payment review commission which later merged to become medpack, which was renamed to hrq. and he too spoke very specifically about health system transformation and innovation. and he spoke about the clinton health reform efforts which were ongoing at the time about ideas about medicare payment reforms and a variety of such topics. now, as a young medical student i had come to georgetown to train as a physician and i was struck about how dr. isenberg spoke about grand missions and big ideas and issues that were affecting the entire healthcare delivery system and communities throughout our country. and these ideas were really new and foreign to me at the time. i had just come off of my very first tour, initial tour in the army and healthcare reform, healthcare systems transformation were not the topics of discussion in ranger school, airborne school or out in field exercises, but at that moment in time when dr. isenberg spoke abo