A ugust 19, 2019 was a big day for The Business Roundtable (TBR), the Washington, DC non-profit association of chief executive officers of major US companies. The organization released a new "Statement on the Purpose of the Corporation" signed by 183 CEOs declaring that the interests of workers, customers, communities, and "other stakeholders" should be as important as the interests of a company's shareholders. 1 This represented a significant change from its 1997 Statement that declared "the principal object of a business is to generate economic returns to its owners."While actions, not statements, will reveal real intent over time, this change was noteworthy-including for the US health care sector. The subject has deep roots in American society, especially in the advocacy of the late economist Milton Friedman, who derided corporate social responsibility as "fundamentally subversive" and asserted that "there is one and only one social responsibility of business-to use its resources and engage in activities designed to increase its profits." 2 In the 1970s and 1980s, Friedman's notion powered a movement in the United States, Great Britain, and around the globe called "neoliberalism" that promoted deregulation, defanged labor unions, shrunken government, and ever lower taxes. From business schools to high cathedrals of capitalism "greed is good" became more than a movie line from Wall Street and its iconic Gordon Gekko. Binyamin Applebaum's new book, The Economists' Hour, lays out the neoliberal narrative, warts and all, in compelling detail.In recent years, polite rebellion has broken out in business circles against the presumption of shareholder primacy. In January 2019, Black-Rock CEO Larry Fink, in an open letter to CEOs, asserted that companies that "fulfill their purpose and responsibilities to stakeholders reap rewards over the long term. Companies that ignore them stumble and fall." 3 Back in 2009, then-Microsoft CEO Bill Gates advocated