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Lloyd I. Sederer, MD, recounts the unfettered story of how McLean survived impending closure or sale to once again prosper and regain its international stature as the hospital where you would want a loved one to be treated for a psychiatric or substance use disorder.

Only growth and innovation can reverse an institutional fiscal crisis. Dr. Sederer describes how, over six years of hemorrhaging money, McLean eluded the now pervasive corporatization of American healthcare and was clinically and financially rebuilt despite the odds, all while serving with integrity and soul more patients than ever before.

Caught in the Crosshairs of American Healthcare offers leaders and aspiring leaders in healthcare and other complex organizations a candid look behind the curtain of McLean’s transformation into a hospital open to all, no longer only the rich and famous. Dr. Sederer also finely details: 

• the corporatization of medicine putting profits before patients,
• endless insurance hurdles,
• how to prove clinical improvements, and
• our broken and inequitable health and mental health systems of care.

Caught in the Crosshairs of American Healthcare shows readers that, with grit, brains, and support, we can still change our world.


Lloyd’s Sederer’s brilliant book about the revival of McLean Hospital from a near death experience, teaches us how to “rethink the status quo” of any institution or organization. From “toxic treatment” to “do no harm” from “report cards” to creatingan “institutional moral compass”, SAVING MCLEAN shows us step by step how to challenge established protocols and prove their efficacy. By doing so Sederer shows us how we can save, reshape and rethink the destiny and relevancy of our institutions, bureaucracies and communities.

Francis Greenburger


CEO, Time Equities; CEO of the Greenburger Literary Agency; President, Greenburger Center for Social and Criminal Justice

Dr. Sederer gives us a wise, penetrating look at the collision of traditional medicine with the “corporatization of healthcare”, now devouring the USA. 
Our medical care needed fixing but the for-profit, corporate driven cure is making matters worse, in ways we all feel as patients, families, and clinicians. His is a cautionary tale using a Harvard teaching hospital as a case study of that devastating collision and how to survive it without losing your integrity and soul. 
Don’t miss reading Crosshairs.

Siddhartha Mukherjee,



Pulitzer Prize winning author of The Emperor of All Maladies, The Gene, and The Song of The Cell

Dr. Sederer models a rare combination of clinical expertise, executive savvy, eloquence, and old-fashioned compassion as he recounts a dramatic story of leading clinically necessary change in a revered but fraying hospital. This book should be required reading for anyone who wants to understand transformational leadership.

Donald M. Berwick MD, MPP


President Emeritus and Senior Fellow, Institute for Healthcare Improvement

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