Every state?s health care delivery system can easily be shown to be unorganized and dysfunctional. Quality of health care and patient safety depend upon each state?s health care delivery system and every state has failed to fulfill that responsibility. I can provide any state with a process to create a detail picture of their current health care delivery system that would enable them to completely reorganize that system, harness their state?s medical expertise and rapidly improve the quality of care and patient safety. States are where one must begin to improve the quality of health care in America.