A discussion with Dr. Bradley Gilbert, former Director of the California Department of Health Care Services who helped lead the state through its initial response to the COVID-19 pandemic. Dr. Gilbert also headed the Inland Empire Health Plan, one of the top ten largest Medicaid Managed Care plans in the nation. We discuss challenges of making decisions with limited to no data or information, creating a successful team culture amid organizational change and growth, and ideas for managing public health and other large-scale social problems.

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