If you've gotten the message that reengineering is an exercise designed to create profound change, you've gotten the message. If you know from experience that buying a medical group and tacking it onto a hospital or insurance company doesn't create the results you want, you may be starting to understand the importance of reengineering. It isn't easy, but we can't see an alternative. Traditional components of our industry are all on the endangered species list. To us this means making changes in our business processes that are fundamental, radical, dramatic, and process-focused. It means that reengineering must become a way of life.