Fernando did not respond to interview requests. Nor did Commissioner Jeffrey Lunde, who has publicly supported the change. But Commissioner Heather Edelson did speak with me, and her perspective is valuable, because she’s a former legislator who told me she supported HF 5442. Now she holds the opposite view. Edelson was a public health standout at the Capitol. Her case for the overhaul includes greater transparency and more innovation but basically boils down to the “dynamic” between the current corporate board and county commissioners. A reset is needed, she said. “I don’t see it getting better without doing something drastic like this.” Edelson spoke about consultants coming in with a plan to ensure an orderly transition and the necessary expertise to run a large system. I was left wanting more details, however. How much of a plan was in place? Who are the consultants? What does the plan call for? What does “interim” mean? I also remain unclear how it will help to take the heath care system’s governance model back to the early 2000s, before the corporate board was set up to provide more focused and expert leadership than the county commissioners could provide.