If you want to understand why the United States has the most expensive and worst performing health care system among developed countries, in terms of access, equity, efficiency, and outcomes, you have a unique and vital resource in Families USA. For forty years, this national nonprofit has investigated every aspect of our broken bureaucracy, from the cost of prescription drugs to the politicization of Medicare to the implicit bias deep within our delivery systems. And it has used this understanding to inform and engage consumers, from those willing to share their lived experiences to community-based health organizations in every state to the media and policymakers in state houses and on Capitol Hill. Families USA Executive Director Frederick Isasi talks about how the powerful stressor that is COVID19 has rocked this fragile system and exposed its profound weaknesses. He believes in, and Families USA is based on, a theory of change that honors the perspective and experience of many while working towards justice for all. This is the story of our times.