Our national deficit debates are increasingly turning to healthcare costs and the need to evolve our current dysfunctional healthcare system. A recent addition to this debate is a new book by a founder of Tai Sophia in Laurel, Maryland. In his book, Breaking the Iron Triangle: Reducing Healthcare Costs in Corporate America, Robert Duggan notes that our current debate frames healthcare as an “iron triangle”. The iron triangle refers to healthcare cost, quality, and access. According to Duggan, “common sense tells us that is impossible to maximize quality and access while minimizing cost.” He argues the iron triangle can be broken only by abandoning cherished, destructive assumptions and complementing our existing “disease system” with a strengthened “wellness system”. The book includes several examples of institutions – including many local to Maryland – that are currently taking up this challenge.