The article discusses the need for business leaders in the U.S. to design operating models that are more responsive to the needs and demands of their customers. The author suggests that in community health, focusing on dignity over efficiency, this makes patients feel seen and respected, leading to lower hospital and emergency department use and lower total system costs. However, most businesses still optimize for scale and speed, while focusing on community rootedness as a constraint that limits growth. The article suggests three strategies for implementing dignity-centered care and optimizing for the right things, including creating structures where the people your business serves directly impact how it operates. It also suggests that organizations should adopt a more holistic approach to building value and building trust in their communities.