As Don Berwick steps down today from his position as head of the Centers for Medicare and Medicaid Services, it is time to offer him a simple and heartfelt "thank you." It takes a high degree of courage and selflessness to throw oneself into the political maelstrom that exists in Washington, DC. Don had no need to leave his comfortable and highly regarded position as head of the Institute for Healthcare Improvement. He did so because he thought he could make contributions to the development of sensible health care policy, in service to the people of this country. He carried out that job admirably, with honesty and good spirit, notwithstanding attacks on him personally that were inaccurate, mean, and uncalled for. A political climate that thrives on the demonization of such a person and his dedication to the public good is an indication of deep problems in our body politic. That a fine person would nonetheless choose to serve in that environment is an indication that there is still hope, a reservoir of people who are willing to be tapped to help our country. Bravo to Don!