Christensen calls these people disruptive innovators. According to Barker, since foreigners have not been immersed in a broken culture, it is easier for them to see its flaws. The outsider does not simply accept the way things are done without question just because he does not know that it should not be questioned. According to Christensen, this disruptive innovator is not rooted in current culture. This innovator's gain is simply to create a better process. Finally, and I think most importantly, change affects everyone. Barker states in his presentation that even if a change occurs in a department that is not yours, don't assume it won't affect you. Changes ripple throughout the organization and a change anywhere in the process is bound to affect everyone. This is a point that Christensen highlights as a key lesson of disruptive innovation. Disruptions rarely alter any part of the industry. This is usually a radical change. When used successfully, Christensen believes technology is a driver of radical change in healthcare. Many valuable lessons can be learned from Barker and Christensen. To me, the main idea is so cliché that change is inevitable. It is simply a matter of recognizing what needs to change in order to create the