Why does healthcare take so long to make decisions, and what does that hesitation ultimately cost? On this episode of I Don’t Care, Dr. Kevin Stevenson speaks with healthcare strategist Mark Van Sumeren about the structural forces that slow decision-making across health systems and why he believes “decision pace is capacity.” Drawing on more than four decades of experience across healthcare operations, consulting, supply chain, public companies, and private equity-backed organizations, Van Sumeren explains how delayed decisions consume scarce resources, limit future options, and can ultimately force organizations into more painful cuts. The conversation explores decision ownership, executive accountability, incentives, the dangers of consensus-driven governance, lessons healthcare can borrow from other industries, overlooked opportunities in nonclinical supply chain spending, and why learning to move with deliberate speed will be essential to healthcare’s long-term sustainability.