When Dr. John Wasson was in medical school, he worked at an east coast resort that hosted well-known members of organized crime families. Reflecting back on this experience after a full career as a primary care physician and geriatrician, and as a member of the faculty at Dartmouth Medical School, Dr. Wasson sees lessons from organized crime that can be applied to a disorganized U.S. healthcare system: Don't damage the host, protect the brand and adapt aggressively. How can these lessons position the patient as the most important part of care delivery?