This past Thursday right after classes we were treated to a wonderful evening presentation and discussion by Christopher Koller, President of the Milbank Memorial Fund on “Linking Evidence to Practice to Improve Population Health – Lessons from the States.” Chris, previewed for us the presentation that he is making to governors around the country on the impact that they can have in reshaping health care outcomes and lowering health care costs in their state by “going big” into revamping their health care systems. He presented extremely interesting results from both Vermont and Oregon and discussed new changes from the State of Arkansas. After the formal presentation Chris held an open and candid discussion on the trends that he is seeing in healthcare systems in different parts of the country. The seasoned EMPH students engaged Chris in a lively discussion. Another intellectually stimulating in person event with an industry thought leader which is what makes Columbia’s EMPH program so special and unique.